Individual provider Active NPI

Tiffany Marie Griffiths, PSY.D.

  • Clinical Psychologist
  • Dunmore, PA
National Provider Identifier
1124179379
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015315 Issued in PA
Practice address
502 N Blakely St
Dunmore, PA 18512-1943
Phone
(570) 342-8434
Fax
(570) 342-7446
NPI assigned
Jan 15, 2007
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015315 PA Primary

Addresses

Primary practice location

502 N Blakely St
Dunmore, PA 18512-1943

Mailing address

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

Other practice location 1

470 Wyoming Ave
Kingston, PA 18704-3603
Phone (570) 342-8434

Other practice location 2

406 N State St
Clarks Summit, PA 18411-1062
Phone (570) 342-8434

Other practice location 3

1251 Wyoming Ave
Exeter, PA 18643-1434
Phone (570) 342-8434

Other practice location 4

1031 Main St
Peckville, PA 18452-2103
Phone (570) 342-8434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20050610000165 PA Practitioner - Clinical Psychologist 5294778288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Griffiths Psy D & Associates Inc Clinical CurrentSince Oct 30, 2012 Accepting new patients

Locations

406 N State St
Clarks Summit, PA 18411
Phone (570) 221-9319

502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434

1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054

470 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-4551

644 Germantown Pike
Ste 2B
Lafayette Hl, PA 19444
Phone (570) 342-8434

121 Moosic Rd
Old Forge, PA 18518
Phone (570) 342-8434

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124179379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WYOMING AVE",
            "city": "EXETER",
            "state": "PA",
            "postal_code": "186431434",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N BLAKELY ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185121943",
            "telephone_number": "570-342-8434",
            "fax_number": "570-342-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187043603",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-288-1084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarks Summit",
            "state": "PA",
            "postal_code": "184111062",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-319-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "PA",
            "postal_code": "186431434",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Main St",
            "address_purpose": "LOCATION",
            "city": "Peckville",
            "state": "PA",
            "postal_code": "184522103",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-291-4960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.