Individual provider Active NPI

Sean Bell-Thomson, PH.D.

  • Clinical Psychologist
  • Sleepy Hollow, NY
National Provider Identifier
1326307281
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021330-1 Issued in NY
Practice address
245 N Broadway Ste 208
Sleepy Hollow, NY 10591-2899
Phone
(914) 488-6432
Fax
(914) 488-6431
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 021330-1 NY Primary

Addresses

Primary practice location

245 N Broadway Ste 208
Sleepy Hollow, NY 10591-2899

Mailing address

245 N Broadway Ste 208
Sleepy Hollow, NY 10591-2899
Phone (914) 488-6432

Other practice location 1

353 Lexington Ave Ste 314
New York, NY 10016-0941
Phone (914) 488-6432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 30, 2023 through Oct 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
021330-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thalassa Psychological Services, P.L.L.C. Psychologist CurrentSince Jul 28, 2024 Accepting new patients

Locations

353 Lexington Ave
Ste 314
New York, NY 10016
Phone (914) 488-6432

245 N Broadway
Ste 208
Sleepy Hollow, NY 10591
Phone (914) 372-7800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1326307281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY STE 208",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912899",
            "telephone_number": "914-488-6432",
            "fax_number": "914-488-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY STE 208",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912899",
            "telephone_number": "914-488-6432",
            "fax_number": "914-488-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Lexington Ave Ste 314",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160941",
            "country_code": "US",
            "telephone_number": "914-488-6432",
            "fax_number": "914-488-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL-THOMSON",
        "first_name": "SEAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021330-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.