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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NULTON DIAGNOSTIC & TREATMENT CENTER, PC
NPI 1073573010
Psychiatry & Neurology - Neurodevelopmental Disabilities in Johnstown, PA

Active since March 24, 2006CLIA 39D2086877 · Waiver
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904(814) 262-0025(814) 266-8745 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nulton Diagnostic & Treatment Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NULTON DIAGNOSTIC & TREATMENT CENTER, PC (NPI 1073573010) is a healthcare organization registered as a neurodevelopmental disabilities in Johnstown, Pennsylvania and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026, maintains 10 additional practice locations, and lists Larry J Nulton, Owner, as its authorized official.

NPPES Registry Identity

NPI1073573010
Entity TypeOrganization
Primary Taxonomy2084P0005X
Legal Business NameNULTON DIAGNOSTIC & TREATMENT CENTER, PC
Location Address214 COLLEGE PARK PLZJohnstown, PA 15904-2833
Mailing Address214 College Park PlzJohnstown, PA 15904-2833 · (814) 262-0025 · Fax (814) 266-8745
Phone(814) 262-0025
Fax(814) 266-8745
Organization SubpartNo
Authorized OfficialLarry J NultonOwner · (814) 262-0025
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1073573010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2084P0005X
Definition
A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 314080 (PA), 117055 (PA)
214 COLLEGE PARK PLZ, Johnstown, PA 15904
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1400 Lakemont Park Blvd Ste 100Altoona, PA 16602-5967 · Phone (814) 944-4722 · Fax (814) 266-2880
Location 21405 N Cedar Crest BlvdAllentown, PA 18104-2308 · Phone (888) 918-5465 · Fax (814) 266-2880
Location 310 Buist Rd Ste 304&103Milford, PA 18337-9311 · Phone (570) 686-0064 · Fax (814) 266-2880
Location 4643 Main StSlatington, PA 18080-1458 · Phone (610) 224-9311 · Fax (814) 266-2880
Location 51008 S 5th Ave Ste 102Clarion, PA 16214-8676 · Phone (888) 918-5465 · Fax (814) 266-2880
Location 6505 Georgian PlSomerset, PA 15501-1613 · Phone (814) 701-2358 · Fax (814) 266-2880
Location 7110 Franklin St Ste 105AJohnstown, PA 15901-1829 · Phone (877) 268-9463 · Fax (814) 266-2880
Location 8608 E Pitt StBedford, PA 15522-9723 · Phone (814) 624-3121 · Fax (814) 266-2880
Location 9313 W High St Ste 211Ebensburg, PA 15931-1549 · Phone (814) 419-8083 · Fax (814) 266-2880
Location 10321 Main St Ste 4FJohnstown, PA 15901-1632 · Phone (814) 254-4905 · Fax (814) 266-2880

Other Identifiers 1

Medicaid1007324900011PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nulton Diagnostic & Treatment Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Nulton Diagnostic & Treatment Center, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Psychiatry14
Nurse Practitioner11
Clinical Social Worker10
Mental Health Counselor10
Clinical Psychologist2

Nearest to this location (20)

See all 47
Larry Nulton, PHD
Clinical Psychologist
NPI 1497896906
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Jordan Rea
Mental Health Counselor
NPI 1902655574
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Gemma Rusnak, LSW
Clinical Social Worker
NPI 1710519269
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Shannyn Swallow
Mental Health Counselor
NPI 1285483248
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Doo Cho, MD.
Psychiatry
NPI 1609891662
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Charles Kennedy, PHD
Clinical Psychologist
NPI 1528260130
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Shawna Kosakowski, MSW, LSW
Clinical Social Worker
NPI 1700118460
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Sarah Loveridge, LCSW
Clinical Social Worker
NPI 1710406079
214 COLLEGE PARK PLZ
Johnstown, PA 15904
(814) 262-0025
✔ PECOS✔ Accepts MedicareSame address
Daniel Ayres, LCSW
Clinical Social Worker
NPI 1437593142
1190 FLORIDA AVE
Johnstown, PA 15902
(814) 242-0692
✔ PECOS✔ Accepts Medicare3.0 mi
Tara Lucas, RN
Nurse Practitioner
NPI 1386153526
321 MAIN ST STE 4F
Johnstown, PA 15901
(814) 254-4905
✔ PECOS✔ Accepts Medicare5.1 mi
Katelyn Lamer, CRNP
Nurse Practitioner
NPI 1922474865
313 W HIGH ST
Ebensburg, PA 15931
(814) 262-0025
✔ PECOS✔ Accepts Medicare16 mi
Kimberly Kramer, LCSW
Clinical Social Worker
NPI 1538175963
505 GEORGIAN PL
Somerset, PA 15501
(814) 701-2359
✔ PECOS✔ Accepts Medicare21 mi
Laura Ofarrell, CRNP
Nurse Practitioner
NPI 1164977864
241 MAPLE HOLLOW RD
Duncansville, PA 16635
(814) 693-1415
✔ PECOS✔ Accepts Medicare24 mi
Julia Kalp, LCSW
Clinical Social Worker
NPI 1891081410
224 HILL TOP RD
Berlin, PA 15530
(814) 442-2911
✔ PECOS24 mi
Scarlett Brode
Clinical Social Worker
NPI 1689049876
3759 BUSINESS 220 SUITE 101
Bedford, PA 15522
(814) 932-5912
✔ PECOS✔ Accepts Medicare25 mi
Lyndsey Carey, LCSW
Clinical Social Worker
NPI 1386415040
2900 PLANK RD STE 9
Altoona, PA 16601
(814) 944-4722
✔ PECOS✔ Accepts Medicare26 mi
Carly Cooper
Nurse Practitioner
NPI 1346022456
2900 PLANK RD
Altoona, PA 16601
(814) 944-4722
✔ PECOS✔ Accepts Medicare26 mi
Barbara Patrick, LPC
Mental Health Counselor
NPI 1598311631
2900 PLANK RD STE 9
Altoona, PA 16601
(814) 944-4722
✔ PECOS✔ Accepts Medicare26 mi
Danielle Gibbons, CRNP
Nurse Practitioner
NPI 1194737593
2900 PLANK RD STE 9
Altoona, PA 16601
(814) 944-4722
✔ PECOS✔ Accepts Medicare26 mi
Anil Parekh, M.D.
Psychiatry
NPI 1154343440
850 HOSPITAL RD STE 2200
Indiana, PA 15701
(724) 464-0270
✔ PECOS✔ Accepts Medicare28 mi
See all 47 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2086877

Nulton Diagnostic & Treatment Center · Johnstown, PA
Active · expires Nov 12, 2026
CLIA Number39D2086877
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorDr. Aileen P. Oandasan
Laboratory Phone(814) 262-0025
Laboratory LocationNulton Diagnostic & Treatment Center214 College Park Plaza, Johnstown, PA 15904
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nulton Diagnostic & Treatment Center, PC's NPI number?

The NPI number for Nulton Diagnostic & Treatment Center, PC is 1073573010. It was assigned to this organization in the NPPES registry on March 24, 2006.

Where is Nulton Diagnostic & Treatment Center, PC located?

Nulton Diagnostic & Treatment Center, PC is located at 214 College Park Plz, Johnstown, PA 15904. The listed phone number is (814) 262-0025.

What is Nulton Diagnostic & Treatment Center, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurodevelopmental Disabilities, with taxonomy code 2084P0005X.

Is Nulton Diagnostic & Treatment Center, PC enrolled in Medicare?

Yes. Nulton Diagnostic & Treatment Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nulton Diagnostic & Treatment Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 5 Medicare specialties reassign their Medicare billing to Nulton Diagnostic & Treatment Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (14), Nurse Practitioner (11) and Clinical Social Worker (10). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nulton Diagnostic & Treatment Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2086877) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nulton Diagnostic & Treatment Center, PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nulton Diagnostic & Treatment Center, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nulton Diagnostic & Treatment Center, PC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.