NULTON DIAGNOSTIC & TREATMENT CENTER PC NPI 1073573010

NPI Information

  • NPI: 1073573010
  • Provider Name: NULTON DIAGNOSTIC & TREATMENT CENTER, PC
  • Classification: Psychiatry & Neurology - 2084P0005X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Organization
  • Address: 214 COLLEGE PARK PLZ
    JOHNSTOWN, PA
    ZIP 15904
  • Phone: (814) 262-0025

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NPI Details

NULTON DIAGNOSTIC & TREATMENT CENTER, PC is a neurodevelopmental disabilities psychiatry neurology in Johnstown, PA. The provider is 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. NULTON DIAGNOSTIC & TREATMENT CENTER, PC NPI is 1073573010. The provider is registered as an organization entity type.

The provider's business location address is:

214 COLLEGE PARK PLZ
JOHNSTOWN, PA
ZIP 15904-833
Phone: (814) 262-0025
Fax: (814) 266-8745

The provider's authorized official is Patricia Griesheimer .
The authorized official title is Billing Director and has the following contact phone number (814) 262-0025.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 9/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health314080PENNSYLVANIANo
2251S00000XCommunity/Behavioral Health117055PENNSYLVANIANo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4207Q00000XFamily MedicineNo
52084P0005XPsychiatry & NeurologyNeurodevelopmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007324900011MEDICAIDPENNSYLVANIA
2047456MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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