NULTON DIAGNOSTIC & TREATMENT CENTER, PC (NPI# 1073573010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073573010 |
| Entity Type | Organization |
| Organization Name | NULTON DIAGNOSTIC & TREATMENT CENTER, PC |
| Practice Address |
214 College Park Plz Johnstown PA 15904-2833 |
| Mailing Address |
214 College Park Plaza Johnstown PA 15904-2833 |
| Practice Telephone | 8142620025 |
| Practice Fax Number | 8142668745 |
| Mailing Telephone | 8142620025 |
| Mailing Fax Number | 8142668745 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | PATRICIA GRIESHEIMER (BILLING DIRECTOR) |
| Authorized Official Telephone | 8142620025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 314080 | PA | Agencies |
| N | 251S00000X | Community/Behavioral Health | 117055 | PA | Agencies |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007324900011 | 05 |
| Street Address |
214 COLLEGE PARK PLZ |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519269 | Gemma Elizabeth Rusnak | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2020-02-12 |
| 1073070231 | Janelle Marie Flook | Behavior Technician | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-02-25 |
| 1790258986 | Sarah Lynette Fisher | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2019-01-10 |
| 1780152637 | Alisha Mae Blough | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-11-08 |
| 1255824686 | Jordan Louise Koontz | Physician Assistant | 214 College Park Plz, Johnstown, PA 15904-2833 | 2018-06-11 |
| 1770094336 | Kelley S Limerick-hand | Counselor | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-10-23 |
| 1174032064 | Natalie M Ramos | Licensed Practical Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-24 |
| 1386153526 | Tara Lucas | Registered Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-20 |
| 1710406079 | Sarah Loveridge | Social Worker | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-18 |
| 1558880468 | Stacey Lynn Cornelius | Licensed Practical Nurse | 214 College Park Plz, Johnstown, PA 15904-2833 | 2017-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 2084P0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate for NDN was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Ongoing early discussions regarding proposal. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942463658 | Alternative Community Resource Program Inc | Psychiatry & Neurology | 131 Market St, Johnstown, PA 15901-1628 | 2008-07-03 |
| 1609891662 | Doo W Cho | Psychiatry & Neurology | 214 College Park Plz, Johnstown, PA 15904-2833 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1093016206 | Beaver County Psychiatric Services | Psychiatry & Neurology | 219 3rd St, Beaver, PA 15009-2301 | 2010-11-04 |
| 1720164965 | Dubois Regional Medical Center | Psychiatry & Neurology | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2006-10-31 |
| 1205844735 | Grace Mcgorrian | Psychiatry & Neurology | 112 Hillvue Dr, Butler, PA 16001-3498 | 2006-08-03 |
Please comment or provide details below to improve the information on NULTON DIAGNOSTIC & TREATMENT CENTER, PC.
| 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.