Timothy J Carnevale, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019176 Issued in PA

Practice address

502 N Blakely St
Dunmore, PA 18512-1943

Phone

(570) 342-8434

Fax

(570) 342-7446

NPI assigned

Jan 27, 2017

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tiffany Griffiths Psy D and Associates IncGroup PAC ID 5496907776, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiffany Griffiths Psy D & Associates Inc

  • Clinical Psychologist
  • Dunmore, PA
  • NPI 1649507831
  Medicare reassignment Care Compare group NPD
• Mary B Berge, PH.D.

  • Psychologist
  • Johnstown, PA
  • NPI 1982654935
  Medicare reassignment
• Dr. Mary Berge and Associates, LLC

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1063783678
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1356888341",
    "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": "793 Old Route 119 Hwy North",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "15701",
            "country_code": "US",
            "telephone_number": "724-465-5576",
            "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"
        },
        {
            "address_1": "1765 Goucher St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159051101",
            "country_code": "US",
            "telephone_number": "814-535-8586",
            "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": "2937 Route 611 Unit 15E",
            "address_purpose": "LOCATION",
            "city": "Tannersville",
            "state": "PA",
            "postal_code": "183726000",
            "country_code": "US",
            "telephone_number": "570-342-8434",
            "fax_number": "570-299-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Health Partners, LLC (Advanced Imaging Specialists)
• Ross Capoccia, MA, LPC
• Capozzi Counseling Services LLC
• Kimberly Caputo, CCC-SLP
• Jennifer Carey, BS
• Corina Jutta Carpenter
• Leah Casey, B.S.W.
• Caufman Counseling LLC
• Brittany S Caufman
• Eileen R Cawley, R.PH.

• Clinical Psychologist in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.