Active NPI
Elizabeth Lee Morgan-Carnevale, PSY.D.
- Clinical Psychologist
- Dunmore, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS019714
- Practice address
- 502 N Blakely St
Dunmore, PA 18512-1943 - Phone
- (570) 307-9076
- NPI assigned
- Sep 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Psychologist | 103TC0700X | PS019714 | PA | Primary |
Addresses
Primary practice location
502 N Blakely St
Dunmore, PA 18512-1943
Mailing address
502 N Blakely St
Dunmore, PA 18512-1943
Other practice location 1
68 W Church St
Newark, OH 43055-5050
Phone (740) 281-1777
Other practice location 2
18635 Bowie St
Southgate, MI 48195-2805
Phone (757) 621-5322
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 N Blakely St
Dunmore, PA 18512-1943
Phone (570) 342-8434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019714 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiffany Griffiths Psy D & Associates Inc | Clinical | Current | Accepting new patients |
Locations
406 N State St
Clarks Summit, PA 18411
Phone (570) 342-8434
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 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Dunmore, PA
- NPI 1649507831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1831567478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 N BLAKELY ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185121943"
},
{
"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": "570-307-9076"
}
],
"practiceLocations": [
{
"address_1": "68 W Church St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430555050",
"country_code": "US",
"telephone_number": "740-281-1777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18635 Bowie St",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952805",
"country_code": "US",
"telephone_number": "757-621-5322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORGAN-CARNEVALE",
"first_name": "ELIZABETH",
"middle_name": "LEE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS019714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.