Individual provider Active NPI

Elizabeth Lee Morgan-Carnevale, PSY.D.

  • Clinical Psychologist
  • Dunmore, PA
National Provider Identifier
1831567478
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019714 Issued in PA
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

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220002461 PA Practitioner - Clinical Psychologist 7810366507 Reassigns benefits to 1 organization

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

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

LicenseStateTypeSpecialty
PS019714PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Griffiths Psy D & Associates Inc Clinical CurrentSince Sep 12, 2022 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.

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

Verify at the official NPI Registry.