NULTON DIAGNOSTIC AND TREATMENT CENTER (NPI# 1538370614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538370614 |
| Entity Type | Organization |
| Organization Name | NULTON DIAGNOSTIC AND TREATMENT CENTER |
| Practice Address |
608 East Pitt Street Bedford PA 15522 |
| Mailing Address |
608 East Pitt Street Bedford PA 16601 |
| Practice Telephone | 8146243121 |
| Mailing Telephone | 8146243121 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | MR. LARRY J NULTON (CEO) |
| Authorized Official Telephone | 8142620025 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 312180, 312170 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007324900002 | 05 | |
| PA | 1007324900016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467677831 | Nulton Diagnostic and Treatment Center | Community/Behavioral Health | 220 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| 1679606412 | Nulton Diagnostic and Treatment Center | Counselor | 608 E Pitt St, Bedford, PA 15522-9723 | 2007-03-13 |
| Street Address |
608 EAST PITT STREET |
| City | BEDFORD |
| State | PA |
| Zip Code | 15522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253308 | Jennifer Ann Leibfreid | Pharmacist | 654 E Pitt St, Bedford, PA 15522 | 2020-10-21 |
| 1336632579 | Jesse Wolfe | Physical Therapist | 9613 Lincoln Hwy Ste 107, Bedford, PA 15522 | 2018-06-12 |
| 1730602178 | Jamie Dawn Wilson | Behavior Technician | 3759business 220 N, Suite 101, Bedford, PA 15522 | 2017-07-18 |
| 1649723529 | Gina Rievel | Physical Therapy Assistant | 320 E Watson Street, Bedford, PA 15522 | 2016-07-27 |
| 1295184356 | Megan Ann Diehl | Social Worker | 3759 Business Route 220 N., Suite 101, Bedford, PA 15522 | 2016-06-09 |
| 1275912644 | Alternative Community Resource Program | Public Health or Welfare | 3759 Business Rt. 220, Bedford, PA 15522 | 2015-05-19 |
| 1588002513 | Gennifer E Washington | Social Worker | 104 Blanche St, Bedford, PA 15522 | 2013-06-12 |
| 1942554787 | Kristen Susannah Kozak | Nurse Practitioner | Upmc Bedford Walk In Clinic, 420 E. Central Way, Bedford, PA 15522 | 2012-11-01 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1932465234 | Amberly Shaffer | Counselor | 3759 Business Rte. 220 N. Suite 101, Bedford, PA 15522 | 2012-04-11 |
| Find all providers in zip 15522 | ||||
| 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 |
|---|---|---|---|---|
| 1831759117 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 3639 Business 220, Bedford, PA 15522-1122 | 2019-06-18 |
| 1740847441 | Donald Lee Lykes | Community/Behavioral Health | 314 Union St, Bedford, OH 44146-4569 | 2019-05-29 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
| 1003210162 | Janebogurskypllc | Community/Behavioral Health | 128 S River Rd, Bedford, NH 03110-6720 | 2014-10-18 |
| 1194147397 | Family Preservation Services, Inc | Community/Behavioral Health | 403 Otey St, Bedford, VA 24523-2800 | 2014-01-08 |
| 1427355304 | Jl Support Services, LLC | Community/Behavioral Health | 1907 Lazenbury Rd, Bedford, VA 24523-6224 | 2011-02-11 |
| 1659543668 | Alternative Community Resource Program Inc | Community/Behavioral Health | 3759 Business Route 220, Bedford, PA 15522 | 2008-03-31 |
| 1922136944 | Family Preservation Services, Inc | Community/Behavioral Health | 807 College St, Bedford, VA 24523-1933 | 2007-03-01 |
| 1689725053 | Lds Family Services | Community/Behavioral Health | 1309 Fieldstone Dr, Bedford, TX 76022-6755 | 2007-01-14 |
| Find all providers in BEDFORD | ||||
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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.