FDA-cleared, non-invasive, drug-free TMS therapy for depression at 80 Fifth Avenue, Union Square. Sessions take 20–30 minutes. Most patients notice improvement within 3–5 weeks. In-network with major insurance.
Or call (646) 817-2835 — speak with our team now
Medically reviewed by Yuli Fradkin, MD, board-certified psychiatrist · Last reviewed October 2026
Rated 5.0
On Google reviews
FDA-Cleared
Safe & evidence-based
In-Network
Aetna, BCBS, Cigna, United
Board-Certified
Psychiatrists, 25+ years
verified Google Reviews
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Dr Fradkin helped me with treatment-resistant depression using TMS.
Valery Dinner Verified Google ReviewI had a great experience at the Village TMS Center for Autism and Depression. The staff is very kind, professional, and truly cares about their patients. They take the time to listen and explain the treatment process clearly.
kibriyo komilova Verified Google ReviewMy son just finished TMS therapy with Village Group Medical. I am pleased to mention pleasant and welcoming atmosphere of this office. It helped my son relax and agree to undergo the therapy.
Yelena Haskin Verified Google ReviewAs an R.N. for decades I’ve had myriad experiences with institutions and providers. It takes a lot to impress me and that’s what Dr Fradkin and his affable staff have done! My treatments have been attended to with integrity, friendliness and skill. They provided scheduling flexibility, cost transparency, and a comprehensive orientation to my TMS treatments with a smile. Thus I have no reservations advocating Village TMS and award Dr Fradkin and his staff an A+.
Dennis Moriarty Verified Google ReviewI've been using Village Medical Group services for quite some time and can recommend it to everyone. Very easy easy and transparent communications, warm and welcoming office with people who care. George is very knowledgeable, helpful and I really appreciate his help all the time. Dr. Fradkin is amazing specialist that carefully and precisely chose the treatment that helped. I feel safe and comfortable every time I visit the office.
Nikita Khvastunov Verified Google ReviewVery professional and caring team. I enjoyed learning more about this solution and was pleased with the provided service!
Raul Ifraimov Verified Google ReviewTMS session with George went great. Even though I just started and it’s a new experience for me, a cautious supervision and guidance of the specialist helps to get through. I had all my questions being answered before the procedure. Will come again!
Ekaterina Kokovikhina Verified Google ReviewJust had my first TMS session. Feeling great!
Sofia Dro Verified Google ReviewHOW IT WORKS
You have tried medication. You have tried therapy. You are still not yourself. TMS therapy for depression works differently: it stimulates the underactive mood-regulating areas of the brain directly, without the whole-body side effects of medication and with no downtime.
15 MIN
We assess your history,
answer your questions, and
verify insurance coverage.
1 VISIT
A board-certified psychiatrist
designs your protocol based
on your specific symptoms.
20–30 MIN · 6–9 WK
Sit comfortably in our clinic. No
anesthesia. Drive yourself
home. Listen to music or relax.
CLINICAL OUTCOMES
In a 307-patient study, 58% of patients responded and 37% reached remission.*
*Source: Carpenter et al., Depression and Anxiety, 2012, a multisite observational study of 307 patients whose depression had not improved on antidepressants. Results vary from person to person. More in our guide to TMS success rates.
COURSE LENGTH
A standard course is usually 30–36 sessions over 6–9 weeks, with sessions on weekdays, and your psychiatrist sets your exact schedule. Each visit takes about 20–30 minutes, so most people fit it around work or school. The National Institute of Mental Health describes how a course of TMS works.
FIRST VISIT
We measure your motor threshold to set the right strength and coil position for you.
WEEKDAYS
Short sessions of about 20–30 minutes. You stay awake and can drive straight back to work.
ALONG THE WAY
Your psychiatrist reviews how you are responding and adjusts the plan if needed.
AFTER
Some people stay well after one course. Others return for maintenance or a repeat course later.
Usually, yes. TMS is FDA-cleared for major depressive disorder, and most major plans cover it once you have tried antidepressants without enough relief. We verify your benefits for free and handle the prior authorization. For plan-by-plan detail, read is TMS covered by insurance in 2026.
Takes 2 minutes. No commitment.
COST
With insurance, most patients pay $0–$50 per session, depending on their copay and deductible. Without insurance, the total depends on your protocol and the number of sessions, so ask us for current self-pay pricing. Our guide to TMS therapy cost in NYC covers copays, deductibles and payment options.
COMPARING OPTIONS
When antidepressants have not worked, there are three main next steps, and we offer all three. Your psychiatrist helps you weigh speed, time commitment, side effects and insurance. Our treatment-resistant depression guide compares them in detail.
FDA-CLEARED DEVICE
Weekday sessions of 20–30 minutes for 6–9 weeks. No anesthesia, and you drive yourself home. Also cleared for OCD and anxious depression; see TMS for anxiety.
FDA-APPROVED DRUG
Esketamine nasal spray taken in our office, with at least 2 hours of monitoring and no driving until the next day. Learn about Spravato treatment in NYC.
OFF-LABEL
Used off-label for depression, with every session supervised in our clinic. Usually self-pay; IV is typically $400–$800 per session. See ketamine therapy.
Spravato is FDA-approved and may only be given in a healthcare setting certified under the Spravato REMS program. Ketamine is FDA-approved only as an anesthetic.
Board-certified psychiatrists with decades of experience treating depression, OCD and anxiety.
I founded Village TMS because so many of my patients had been failed by standard treatment paths.
My approach is unhurried, evidence-driven, and centred on what each person actually needs to feel like themselves again.
I came to TMS after watching patients
cycle through medications that didn't fit them. My focus is precision, matching the right protocol to the right person, and adjusting as we go.
I help adults and couples build self-awareness, deepen relationships, and create more meaningful lives. My work is grounded in Gestalt therapy and informed by EMDR, mindfulness, and transpersonal psychology. I combine deep emotional exploration with practical tools, working in a warm, collaborative space where clients feel genuinely seen and supported.
Everything you need to know before your free consultation.
TMS stands for transcranial magnetic stimulation. A magnetic coil placed against your scalp sends brief pulses into the areas of the brain that regulate mood. TMS devices are FDA-cleared to treat major depressive disorder in adults who have not improved on antidepressants. The National Institute of Mental Health has a plain-language overview of how brain stimulation therapies work.
With insurance, most patients pay $0–$50 per session, depending on their copay and deductible. Without insurance, the cost depends on your protocol and the number of sessions, so ask us for current self-pay pricing. Our guide to the cost of TMS therapy explains copays, deductibles and payment options.
Usually, yes. Most major plans cover TMS for depression once you meet their criteria, which generally means you have tried antidepressants without enough relief. We are in network with Aetna, BCBS, Cigna, United, Empire BCBS, Oxford and Medicare. We verify your benefits for free and handle the prior authorization. For plan-by-plan detail, read is TMS covered by insurance in 2026.
Most people describe a tapping or knocking feeling on the scalp while the pulses run. Scalp discomfort and mild headaches are the most common side effects, and they usually ease as treatment goes on. We can adjust the settings if you are uncomfortable. There is no anesthesia and no needles. Read more about TMS side effects.
A standard course is usually 30–36 sessions over 6–9 weeks, and your psychiatrist sets your schedule based on your diagnosis and how you respond. Most patients notice improvement within 3–5 weeks. Some people need the full course before they feel the difference.
For many people, one course is enough to lift depression for months or longer. Depression can return, though. Some people come back for maintenance sessions or a repeat course if symptoms return, and we plan that follow-up with you at the end of your course.
It can be, especially if antidepressants have not helped or their side effects are hard to live with. In a 307-patient study in clinical practice, 58% of patients responded to TMS and 37% reached remission. Results vary from person to person, and no treatment works for everyone. See the research on TMS success rates, and for a frank look at the downsides, read Did TMS ruin my life? An honest look.
Depression is usually called treatment-resistant when symptoms persist after at least two antidepressants taken at adequate doses for long enough. It does not mean you are out of options. It means it is time to look at treatments that work differently, such as TMS, Spravato or ketamine. Our treatment-resistant depression page compares them.
Yes. TMS is done in our office at 80 Fifth Avenue. Sessions take about 20–30 minutes, depending on the protocol, with no anesthesia. You can drive yourself and go straight back to work or school.
In most cases, yes. Many patients have TMS alongside antidepressants or mood stabilizers. We review your medication list during screening, because a few medications need extra care. Never stop or change a medication without talking to your prescriber first.
Antidepressants travel through the whole body, which is why side effects such as weight gain, fatigue or sexual side effects are common. TMS acts on a targeted area of the brain, so it avoids those whole-body effects. It is often the next step when medications have not worked, and it can be combined with them.
Village TMS is at 80 Fifth Avenue, Suite 1405, at West 14th Street near Union Square. The 14 St–Union Square station (4, 5, 6, L, N, Q, R, W) is a few minutes away on foot, and PATH trains from New Jersey stop at 14th Street and 6th Avenue. See getting to Village TMS for routes from Brooklyn, Queens, New Jersey and Long Island.
TMS is FDA-cleared for major depression, for OCD with Deep TMS, and for anxiety symptoms in adults with depression (anxious depression). Its use for PTSD, ADHD, bipolar depression or generalized anxiety disorder is off-label, and the evidence there is still emerging. Learn more about TMS for anxiety.
ECT is done under general anesthesia and induces a controlled seizure. TMS needs neither. TMS has not been linked to the memory problems that can follow ECT, and you can drive home after each session. ECT still has an important role in severe depression. Compare them in TMS vs ECT.
INSIGHTS
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EXPLORE OUR SERVICES
A free 15-minute call is all it takes to find out if TMS therapy is right for
you. No pressure. No obligation.
We are at 80 Fifth Avenue, Suite 1405, at West 14th Street, between Union Square and the Flatiron District. Most patients arrive by subway or train.
Subway: the 14 St–Union Square station (4, 5, 6, L, N, Q, R, W) is a few minutes away on foot.
Brooklyn and Queens: from Brooklyn, the L, N, Q, R, 4 and 5 run straight to Union Square. From Queens, take the N or W from Astoria or the R from Forest Hills.
New Jersey: PATH trains from Hoboken and Jersey City stop at 14th Street and 6th Avenue, one avenue west of us. NJ Transit trains run to Penn Station.
Long Island and Westchester: take the LIRR to Penn Station or Grand Central, or Metro-North to Grand Central, then the 4, 5 or 6 to Union Square.
We see patients from across Manhattan, including Union Square, Chelsea, Flatiron, Greenwich Village, the West and East Village, Midtown, the Upper East and West Sides, Harlem, Tribeca and SoHo, as well as Brooklyn, Queens and New Jersey. For full directions, parking and scheduling tips, see getting to Village TMS.
