NULTON DIAGNOSTIC AND TREATMENT CENTER (NPI# 1467677831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467677831 |
| Entity Type | Organization |
| Organization Name | NULTON DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
220 College Park Plaza Johnstown PA 15904 |
| Practice Telephone | 8142660025 |
| Practice Fax Number | 8142668745 |
| Mailing Telephone | 8142660025 |
| Mailing Fax Number | 8142668745 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LARRY NULTON (OWNER) |
| Authorized Official Telephone | 8142620025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 313430 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007324900004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538370614 | Nulton Diagnostic and Treatment Center | Community/Behavioral Health | 608 East Pitt Street, Bedford, PA 15522 | 2007-05-24 |
| 1679606412 | Nulton Diagnostic and Treatment Center | Counselor | 608 E Pitt St, Bedford, PA 15522-9723 | 2007-03-13 |
| Street Address |
220 COLLEGE PARK PLAZA |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172777 | Center for Community Resources, Inc. | Community/Behavioral Health | 110 Franklin St Fl 3, Johnstown, PA 15901-1829 | 2019-12-31 |
| 1982108528 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 101 Community College Way, Johnstown, PA 15904-2949 | 2018-03-20 |
| 1689193450 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 413 Power St, Johnstown, PA 15906-2732 | 2017-09-13 |
| 1093234189 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1 Academic Ave, Johnstown, PA 15904-2946 | 2017-09-11 |
| 1326567439 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 675 Goucher St, Johnstown, PA 15905-3247 | 2017-09-11 |
| 1215456306 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 222 Central Ave, Johnstown, PA 15902-2405 | 2017-09-11 |
| 1326566472 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 430 Tioga St, Johnstown, PA 15905-2346 | 2017-09-08 |
| 1871011924 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 600 Harlan Ave, Johnstown, PA 15905-3916 | 2017-09-08 |
| 1073031126 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 2306 Bedford St, Johnstown, PA 15904-1127 | 2017-09-08 |
| 1942728092 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 1516 Tire Hill Rd, Johnstown, PA 15905-7822 | 2017-09-08 |
| 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.