OrganizationActive
Fresh Start Relational Therapy
NPI 1023736352 · Mental Health Clinic/Center (Including Community Mental Health Center) · New York, NY
Provider details
- NPI number
- 1023736352
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aquandalla Davis, Licensed Marriage and Family Therap(347) 394-9283
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 Park Ave
New York, NY 10022-3505
Phone: (646) 598-4575
Street-level locationGet directions
Mailing address
15511 115th Ave
Jamaica, NY 11434-1007
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.