Active NPI
George Joseph Carnevale, PH.D.
- Rehabilitation Psychologist
- Clifton, NJ
National Provider Identifier
1013939032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 35SI00255300
- Practice address
- 1050 Clifton Ave
Clifton, NJ 07013-3600 - Phone
- (973) 773-8820
- Fax
- (972) 472-3143
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35SI00255300 | NJ | |
| Clinical Psychologist | 103TC0700X | 35SI00255300 | NJ | |
| Forensic Psychologist | 103TF0200X | 35SI00255300 | NJ | |
| Health Service Psychologist | 103TH0100X | 35SI00255300 | NJ | |
| Rehabilitation Psychologist | 103TR0400X | 35SI00255300 | NJ | Primary |
Addresses
Primary practice location
1050 Clifton Ave
Clifton, NJ 07013-3600
Mailing address
2 Girard PL
Maplewood, NJ 07040-3108
Phone (973) 761-0692
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041109000013 | NJ | Practitioner - Clinical Psychologist | 4284697426 | Practice locations: Clifton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1050 Clifton Ave
Clifton, NJ 07013-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00255300 | NJ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013939032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GIRARD PL",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403108",
"telephone_number": "973-761-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133600",
"telephone_number": "973-773-8820",
"fax_number": "972-472-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEVALE",
"first_name": "GEORGE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35SI00255300",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00255300",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NJ",
"license": "35SI00255300",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NJ",
"license": "35SI00255300",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NJ",
"license": "35SI00255300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.