| Nulton Diagnostic & Treatment Center, Pc | |
|
214 College Park Plz Johnstown PA 15904-2833 | |
| (814) 262-0025 | |
| (814) 266-8745 |
| Full Name | Nulton Diagnostic & Treatment Center, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 214 College Park Plz, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Patricia Griesheimer (BILLING DIRECTOR) |
| Authorized Official Contact | 8142620025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulton Diagnostic & Treatment Center, Pc 214 College Park Plaza Johnstown PA 15904-2833 Ph: (814) 262-0025 | Nulton Diagnostic & Treatment Center, Pc 214 College Park Plz Johnstown PA 15904-2833 Ph: (814) 262-0025 |
| NPI Number | 1073573010 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 09/04/2014 |
| Medicare PECOS PAC ID | 5294621363 |
|---|---|
| Medicare Enrollment ID | O20040225000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073573010 | NPI | - | NPPES |
| 1007324900011 | Medicaid | PA |
| Provider Name | Arthur John J Decarle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356349450 PECOS PAC ID: 2567429954 Enrollment ID: I20041217000015 |
| Provider Name | Anil Kumar Parekh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154343440 PECOS PAC ID: 8123075892 Enrollment ID: I20050405000582 |
| Provider Name | Richard A Cassone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437189826 PECOS PAC ID: 8921049990 Enrollment ID: I20050519000721 |
| Provider Name | Danielle Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194737593 PECOS PAC ID: 3577584176 Enrollment ID: I20051212000054 |
| Provider Name | Mukundam Veerabathini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306981964 PECOS PAC ID: 0941215685 Enrollment ID: I20060216000148 |
| Provider Name | Charles Joseph Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528260130 PECOS PAC ID: 0345259156 Enrollment ID: I20060406000034 |
| Provider Name | Brian Garrett Rockower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225062508 PECOS PAC ID: 1052315314 Enrollment ID: I20060830000004 |
| Provider Name | Doo Whan Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609891662 PECOS PAC ID: 2365538055 Enrollment ID: I20071010000617 |
| Provider Name | Olayinka M Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215185103 PECOS PAC ID: 9032273347 Enrollment ID: I20090225000591 |
| Provider Name | Aileen P Oandasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376601815 PECOS PAC ID: 6901971373 Enrollment ID: I20090612000370 |
| Provider Name | Craig S Feaster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912905795 PECOS PAC ID: 4587780929 Enrollment ID: I20100923000265 |
| Provider Name | Sreedevi Komarneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134141211 PECOS PAC ID: 1153594023 Enrollment ID: I20111109000812 |
| Provider Name | Geraldine J Idoniboye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134394877 PECOS PAC ID: 0143496950 Enrollment ID: I20111228000758 |
| Provider Name | Larry J Nulton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497896906 PECOS PAC ID: 4486540564 Enrollment ID: I20120313000416 |
| Provider Name | Harold C Sternlicht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730176116 PECOS PAC ID: 2567619984 Enrollment ID: I20120820000915 |
| Provider Name | Lula D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245668177 PECOS PAC ID: 7911135157 Enrollment ID: I20140114001323 |
| Provider Name | Christie M Seymour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699919704 PECOS PAC ID: 7810120797 Enrollment ID: I20140429002155 |
| Provider Name | Julia Kalp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891081410 PECOS PAC ID: 0648490458 Enrollment ID: I20140930000227 |
| Provider Name | Daniel J Ayres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437593142 PECOS PAC ID: 0749504587 Enrollment ID: I20150127000170 |
| Provider Name | Erin E Malley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063486181 PECOS PAC ID: 0446576938 Enrollment ID: I20150227000252 |
| Provider Name | Deborah Michaela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821488628 PECOS PAC ID: 7719298454 Enrollment ID: I20150622001052 |
| Provider Name | Laura A Ofarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164977864 PECOS PAC ID: 5092003012 Enrollment ID: I20161006002083 |
| Provider Name | Jessica M Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114394434 PECOS PAC ID: 0840571295 Enrollment ID: I20161227001180 |
| Provider Name | Shawna J Kosakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700118460 PECOS PAC ID: 8527342898 Enrollment ID: I20170306000570 |
| Provider Name | Shelby Custer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720345986 PECOS PAC ID: 3870879919 Enrollment ID: I20170404001742 |
| Provider Name | Amanda J Wible |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487915542 PECOS PAC ID: 0749566727 Enrollment ID: I20170405000843 |
| Provider Name | Sharon M Graaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417304809 PECOS PAC ID: 6901183839 Enrollment ID: I20170503000091 |
| Provider Name | Elizabeth W Fourcade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891139457 PECOS PAC ID: 5092088591 Enrollment ID: I20170905002891 |
| Provider Name | Andreea B Adiaconitei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538387972 PECOS PAC ID: 9739245556 Enrollment ID: I20171121003546 |
| Provider Name | Sarah L Loveridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710406079 PECOS PAC ID: 1759637135 Enrollment ID: I20180628000516 |
| Provider Name | Scarlett M Brode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689049876 PECOS PAC ID: 9335492099 Enrollment ID: I20181025001918 |
| Provider Name | Elizabeth A Balliet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952620585 PECOS PAC ID: 4789927054 Enrollment ID: I20190530001090 |
| Provider Name | Ashley L Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528601739 PECOS PAC ID: 1254765985 Enrollment ID: I20200106000156 |
| Provider Name | Kathryn Ann Valazak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285267690 PECOS PAC ID: 5395176333 Enrollment ID: I20200507001814 |
| Provider Name | Jodi E Plowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104040526 PECOS PAC ID: 1052558871 Enrollment ID: I20200624001073 |
| Provider Name | Padma Palvai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891769527 PECOS PAC ID: 5698790327 Enrollment ID: I20200902000114 |
| Provider Name | Katelyn Lamer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922474865 PECOS PAC ID: 4082027446 Enrollment ID: I20210105000856 |
| Provider Name | Cynthia Lynn Sutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134681208 PECOS PAC ID: 8123437100 Enrollment ID: I20210503002657 |
| Provider Name | Kimberly Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538175963 PECOS PAC ID: 0749646024 Enrollment ID: I20230510003391 |
| Provider Name | Barbara Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598311631 PECOS PAC ID: 4284084914 Enrollment ID: I20231221001242 |
| Provider Name | Jennifer Wentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073029641 PECOS PAC ID: 9234589896 Enrollment ID: I20231221002778 |
| Provider Name | Tiffani Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376187591 PECOS PAC ID: 6305297904 Enrollment ID: I20240108005715 |
| Provider Name | Donna Mctaggart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154881530 PECOS PAC ID: 9931453297 Enrollment ID: I20240109003867 |
| Provider Name | Nicole Parish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528297686 PECOS PAC ID: 9739539685 Enrollment ID: I20240214000146 |
| Provider Name | Peter Ellison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831646066 PECOS PAC ID: 1153766795 Enrollment ID: I20240305002078 |
| Provider Name | Carly Joy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346022456 PECOS PAC ID: 1658718820 Enrollment ID: I20240322003387 |
| Provider Name | Joel Gides |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619262540 PECOS PAC ID: 4183075633 Enrollment ID: I20240325000796 |
| Provider Name | Heather Resh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376139840 PECOS PAC ID: 8527408756 Enrollment ID: I20240503002894 |
| Provider Name | Tara Lynn Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386153526 PECOS PAC ID: 9234571860 Enrollment ID: I20240528001603 |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-410-8300 Fax: 814-410-8331 | |
Chi Berkley Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1130, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8796 | |
Chi Gvozden Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1120, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8798 | |
Richard J Green Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Vine St, Johnstown, PA 15901 Phone: 814-535-5841 Fax: 814-539-3424 | |
Windber Care Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1511 Scalp Ave, Johnstown, PA 15904 Phone: 814-254-4207 Fax: 814-254-4733 | |
Fairfield Ave Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Fairfield Ave, Johnstown, PA 15906 Phone: 814-535-6167 |