Provider Demographics
NPI:1952096836
Name:THALASSA PSYCHOLOGICAL SERVICES, P.L.L.C.
Entity Type:Organization
Organization Name:THALASSA PSYCHOLOGICAL SERVICES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND SENIOR PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELECTRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCAT
Authorized Official - Phone:917-969-8118
Mailing Address - Street 1:245 N BROADWAY STE 208
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2899
Mailing Address - Country:US
Mailing Address - Phone:914-488-6432
Mailing Address - Fax:
Practice Address - Street 1:245 N BROADWAY STE 208
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2899
Practice Address - Country:US
Practice Address - Phone:914-488-6432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty