Laurie Sigalos, MA, CCR, CTS, CA

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

Practice address

33-11 Broadway Ste 201
The Chrysalis Group, LLC
Fair Lawn, NJ 07410-4638

Phone

(973) 907-6923

Fax

(973) 728-6705

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laurie Tellefsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1184803447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-11 BROADWAY STE 201",
            "address_2": "THE CHRYSALIS GROUP, LLC",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104638",
            "telephone_number": "973-907-6923",
            "fax_number": "973-728-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-11 BROADWAY STE 201",
            "address_2": "THE CHRYSALIS GROUP, LLC",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104638",
            "telephone_number": "973-907-6923",
            "fax_number": "973-728-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGALOS",
        "first_name": "LAURIE",
        "credential": "MA, CCR, CTS, CA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "TELLEFSEN",
            "credential": "MA, CCR, CTS, CA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Jean Sibayan
• Matilde Sicherer, LPC
• Maya Sicherer, OTD
• Howard Ronald Siegler, DDS
• Kenneth Joel Sierra Caceres
• Sigl LLC
• Carlos Silva
• Laura Silva
• David Silverman, PT
• Andrew Sim, M.D.

• Forensic Psychologist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Forensic Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.