DR. TIMOTHY J CARNEVALE (PSY.D.) – Clinical Psychologist, NPI 1356888341
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for DR. TIMOTHY J CARNEVALE (PSY.D.)
1765 GOUCHER ST # 150
JOHNSTOWN, PA 159051101
Phone: (814) 535-8586
Type: Mailing
1765 GOUCHER ST
JOHNSTOWN, PA 159051101
Phone: (814) 535-8586
Type: Location
793 Old Route 119 Hwy North
Indiana, PA 15701
Phone: (724) 465-5576
Type: Location
1765 Goucher St
Johnstown, PA 159051101
Phone: (814) 535-8586
Type: Location
1251 Wyoming Ave
Exeter, PA 186431434
Phone: (570) 342-8434
Fax: (570) 299-2521
Type: Location
2937 Route 611 Unit 15E
Tannersville, PA 183726000
Phone: (570) 342-8434
Fax: (570) 299-2521
Type: Location
406 N State St
Clarks Summit, PA 184111062
Phone: (570) 342-8434
Fax: (570) 319-5949
Type: Location
1031 Main St
Peckville, PA 184522103
Phone: (570) 342-8434
Fax: (570) 291-4960
Type: Location
470 Wyoming Ave
Kingston, PA 187043603
Phone: (570) 342-8434
Fax: (570) 288-1084
Type: Location
1031 MAIN STREET
PECKVILLE, PA 18452
Phone: (570) 342-8434
Type: Mailing
1031 MAIN ST
PECKVILLE, PA 184522103
Phone: (570) 342-8434
Fax: (570) 291-4960
Type: Location
1251 WYOMING AVE
EXETER, PA 186431434
Phone: (570) 342-8434
Fax: (570) 299-2521
Type: Mailing
502 N BLAKELY ST
DUNMORE, PA 185121943
Phone: (570) 342-8434
Fax: (570) 342-7446
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210105001614 | I | Clinical Psychologist | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0 |
Insurance plans in this area (ZIP 15905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | PA | |
| - | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| - | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA |
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