Terri Mary Siclare, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3260 Issued in NJ

Practice address

43 Maple Ave
Morristown, NJ 07960-7508

Phone

(973) 993-1990

Fax

(973) 898-3745

NPI assigned

Feb 14, 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700929569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MAPLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607508",
            "telephone_number": "973-993-1990",
            "fax_number": "973-898-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAPLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607508",
            "telephone_number": "973-993-1990",
            "fax_number": "973-898-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICLARE",
        "first_name": "TERRI",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3260",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "15656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50062844",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "806024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Shulkin, MD
• Emily Shumski, DPT
• Jaclyn Sibilia
• Rabe Siby-Cisse, MD, M.S
• Olivia Rose Siciliano, DO, MPH
• Saira Siddiqui, M.D.
• James Sieber, MD
• Adam Siegel
• Alexandra Klaes Siegel, BCBA
• Kari Sierant, APN

• Psychologist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.