
In-person care
Care at Fountain Health NYC
Work with our clinical team in New York City for advanced diagnostics and multidisciplinary care to understand what may be driving your symptoms and build an individualized plan.


Fountain Health is a brain health polyclinic in New York City, bringing together mental health, metabolic health, hormones, sleep, nutrition and longevity. Using advanced diagnostics, we identify underlying causes of symptoms, understand what may be driving how you feel, and build individualized care plans based on the findings.
A more complete view of your health
Mood, sleep, metabolism, hormones, nutrition, inflammation and the nervous system can all affect how you feel. We look at these connections together to understand what may be driving your symptoms and where care should focus.
Your nervous system shapes how you respond to stress and how readily you settle afterward, influencing focus, resilience, and how you feel each day.
Thyroid, cortisol, and sex hormones can influence mood, motivation, energy, recovery, and how you feel throughout the day.
Metabolism affects how steadily your body and brain receive fuel. Changes can appear as energy crashes, cravings, or shifts in weight and mood.
Rest restores the body and supports mental clarity. When sleep is disrupted, mood, focus, energy, and recovery can all feel the effects.
Nutrition supplies the building blocks your body relies on. Identifying gaps can clarify what may be limiting energy, recovery, and progress.
Inflammation can affect both body and mind, showing up through changes in energy, comfort, mood, and mental clarity.
The gut and brain communicate continuously. Digestion, the microbiome, stress, and mood are closely connected parts of the same picture.
One approach. Two ways to start your care.

In-person care
Work with our clinical team in New York City for advanced diagnostics and multidisciplinary care to understand what may be driving your symptoms and build an individualized plan.

Online programs
Access clinician-guided treatment with medical evaluation, medication management when appropriate, and follow-up to assess symptoms, side effects, and treatment response.
Explore available treatments and clinician-guided programs.
Explore by health need
Psychiatry for depression, anxiety, PTSD, mood and related concerns.
Physician-led IV ketamine infusion therapy with evaluation and follow-up.
Medical weight management informed by metabolism and your health goals.
Proactive medical care for performance, prevention and healthy aging.
Care for mood, recovery, energy, sleep, sexual health and body composition.
Clinical care for sleep, recovery, cognition and daytime energy.
Clinical nutrition and movement guidance integrated with your broader care plan.

Let’s find the right path
Tell us what you are experiencing and what you hope to improve. We will help you find the most relevant place to start.
Find answers to common questions about Fountain’s approach, treatments, and personalized care.
Fountain Health is a multidisciplinary medical practice based in New York City that brings mental health, hormonal health, weight and metabolic care, sexual health, nutrition, fitness, cognitive health, and longevity-focused care into one coordinated model. Unlike traditional care, where patients are often sent to multiple specialists who work separately, Fountain is designed around one team working from the same clinical picture. Depending on your needs, care may involve physicians, mental health clinicians, nutrition support, fitness guidance, laboratory testing, body composition, and other relevant assessments. Fountain also combines an in-person NYC medical practice with telehealth and prescription treatments, including compounded medications when appropriate. The goal is to make comprehensive care easier to access while keeping it coordinated, medically supervised, and personalized over time.
Fountain Health provides care across mental health, IV ketamine, hormonal health, weight and metabolic health, sleep, nutrition and fitness, and longevity. Depending on your needs, your care may involve psychiatry, psychology, medical evaluation, medication management, laboratory testing, nutrition support, or performance-focused care. What makes the model different is that these areas are not treated as completely separate problems. Sleep can affect mood and cognition; hormones can influence energy and sexual health; metabolic health and nutrition can affect both physical and mental performance. When more than one area is relevant, Fountain’s specialists can work together around the same goals and clinical picture so that care is coordinated rather than fragmented.
Yes. Fountain is a New York City medical practice with a physical clinic, and we also provide telehealth care to eligible patients in the states where our clinicians are licensed. That means you can access Fountain in the way that best fits your care. Services that require in-person evaluation or treatment are provided at our NYC clinic, while many consultations, follow-up visits, and prescription treatments, including compounded medications, can be managed virtually when appropriate. What makes Fountain different is that virtual care is still connected to the same multidisciplinary clinical team and broader treatment model. Whether you see us in person or through telehealth, the goal is the same: understand the full picture, choose the right treatment, and coordinate your care over time.
Your care starts with understanding your symptoms, medical history, previous treatments, goals, lifestyle, and other factors that may be affecting how you feel and function. Depending on your needs, your team may also use laboratory testing, validated assessments, wearable data, or other diagnostics. From there, we build an evolving care plan around what is most relevant to you. As your symptoms, biomarkers, goals, and response change, your treatment can change with you rather than staying fixed around a one-size-fits-all protocol.
Care does not stop after the initial appointment. Your team follows how you are responding, reviews relevant results, helps address side effects or obstacles, and adjusts treatment when needed. Depending on your care plan, this may include follow-up visits, repeat testing or assessments, communication with your care team, and collaboration between Fountain specialists to make sure your care stays coordinated over time.
You do not need to figure that out on your own. Many concerns, including fatigue, brain fog, low mood, sleep changes, weight changes, hormonal symptoms, and changes in sexual health, can have more than one possible contributor. Fountain starts by understanding what you are experiencing, your health history, and what you want to improve. From there, we can help determine which clinician, evaluation, or treatment makes the most sense and bring in additional members of the team when needed. The goal is to give you one clear place to start, even when the problem does not fit neatly into a single specialty.
Yes. Your Fountain providers can work from a shared understanding of your health so that different parts of your care are not managed in isolation. For example, anxiety may overlap with poor sleep, hormonal changes, nutrition, or metabolic health. When multiple specialists are involved, they can coordinate their perspectives and recommendations into a more unified treatment plan.
No. You can contact Fountain directly, and our team can help determine the right place to start based on your concerns and goals. If you already have a psychiatrist, therapist, primary care physician, or another specialist, Fountain can also collaborate with them, with your permission, to help keep your care coordinated.
Cost varies depending on the type of care, the specialists involved, and whether testing, medications, or additional services are recommended. Before you begin, our team will explain the expected costs and what is included so you can understand the financial commitment upfront and make an informed decision about your care.
Fountain is an out-of-network practice, but our team is here to help make the reimbursement process as easy as possible. For eligible services, we can prepare and submit a superbill on your behalf and help guide you through the steps with your insurance company. Reimbursement depends on your individual out-of-network benefits, deductible, and plan rules, but we will help with the documentation and process so you are not navigating it alone.
New York, New Jersey, Connecticut, Pennsylvania, Florida, California, and Texas
Town & Country Compounding Pharmacy, 535 East Crescent Ave, Ramsey, NJ 07446. Call or Text: (201) 447-2020 | Toll-Free: (800) 850-2101
Clinically reviewed by
Last reviewed: October 2026
Dr. Doreen Zarfati is Chief Medical Officer at Fountain Health NYC and a double board-certified psychiatrist. Her work spans mental health, longevity, metabolism and sexual health, with a particular interest in how biological and clinical factors can influence psychiatric symptoms and treatment response. At Fountain, Dr. Zarfati provides clinical oversight of Fountain’s care models, reviewing and approving them for clinical use and guiding how they are applied in patient care. Her work in IV ketamine focuses on neuroplasticity, emotional processing and the thoughtful integration of emerging treatments into structured clinical care. Her approach is individualized, collaborative and grounded in measurable response, with treatment evolving as the patient’s clinical picture changes.
Looking for more answers?
Explore our full FAQ library for common questions about mental health, ketamine, weight management, hormones, sleep, nutrition, billing, and more.
The Fountain Journal
Expert perspectives, practical guidance and science on brain health, mental health, longevity, metabolism, hormones, sleep, nutrition and performance.
You can explore all of our articles here.

Modern psychiatry has become very good at reducing symptoms. The next step is to understand the biological systems underlying those symptoms, measure what is changing, and use periods of therapeutic opportunity, such as the neuroplasticity induced by ketamine, to address the broader conditions that determine whether recovery lasts.
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Semaglutide and tirzepatide have transformed obesity treatment, but an effective medication does not eliminate the need for diagnosis. Leading U.S. and Canadian obesity guidelines increasingly support comprehensive assessment across metabolic health, mental health, sleep, eating behavior, medications and other contributors before developing a treatment plan.
Read articleThis white paper introduces a four-phase clinical framework for ketamine-assisted psychiatric care. Grounded in neuroplasticity research, it proposes a sequenced approach to improving durability of response.
Read article