DR. TIMOTHY J CARNEVALE (NPI# 1356888341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356888341 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J CARNEVALE |
| Credential | PSY.D. |
| Practice Address |
1765 Goucher St Johnstown PA 15905-1101 |
| Mailing Address |
1765 Goucher St # 150 Johnstown PA 15905-1101 |
| Practice Telephone | 8145358586 |
| Mailing Telephone | 8145358586 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 793 Old Route 119 Hwy North, Indiana, PA 15701 | 7244655576 |
| Street Address |
1765 GOUCHER ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654935 | Mary B Berge | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-05-11 |
| 1801246889 | Sabrina Steele | Contractor | 1765 Goucher St, 150, Johnstown, PA 15905-1101 | 2016-06-21 |
| 1477987451 | Kristin Faust | Counselor | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2013-08-27 |
| 1063783678 | Dr. Mary Berge and Associates, LLC | Community/Behavioral Health | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2012-01-13 |
| 1790078087 | Brad Croyle | Counselor | 1765 Goucher St, Suite 1, Johnstown, PA 15905-1101 | 2011-05-19 |
| 1245535954 | Heather Lynn Hay | Counselor | 1765 Goucher St, Johnstown, PA 15905-1101 | 2011-01-12 |
| 1659548725 | Randall Jay Harris | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2008-05-08 |
| 1720250293 | Kelley Marie Marron | Social Worker | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2008-03-25 |
| 1770505034 | Penny Denise Hoffman | Social Worker | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352615 | Phillip Hartwick | Counselor | 3907 Blackwood Ln, Johnstown, CO 80534-2814 | 2020-07-01 |
| 1275183105 | Paul Anthony Langfield | Counselor | 4106 Watercress Dr, Johnstown, CO 80534-8260 | 2019-09-12 |
| 1366874679 | Deborah Corinne Douglas | Counselor | 1716 Green Wing Dr, Johnstown, CO 80534-9257 | 2013-08-08 |
| 1831534247 | Riverpath Counseling Colorado, LLC | Counselor | 5255 Ronald Reagan Blvd, Suite 220, Johnstown, CO 80534-6435 | 2013-04-30 |
| 1205008422 | Marisa Lynne Schuster | Counselor | 12 Entrance Dr, Johnstown, PA 15905-1202 | 2008-03-27 |
| 1326190307 | Jeffrey Lynn Keiper | Counselor | 142 Gazebo Park, Third Floor, Suite 307, Johnstown, PA 15901-1810 | 2007-01-18 |
| 1487706479 | Michelle Lynn Buynack | Counselor | 2714 William Penn Ave, Suite 1, Johnstown, PA 15909-1010 | 2007-01-18 |
| 1801443296 | Janette Thompson | Counselor | 638 Ferndale Ave, Johnstown, PA 15905-3946 | 2019-08-21 |
| 1710534193 | Gabrielle Elyse Kull | Counselor | 638 Ferndale Ave, Johnstown, PA 15905-3946 | 2019-08-21 |
| 1881256022 | Dana R Canfield | Counselor | 2001 Bedford St, Johnstown, PA 15904-1096 | 2019-07-08 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.