Peerstar Advocacy Alliance LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEERSTAR ADVOCACY ALLIANCE LLC

Practice address

399 Green Ave Ext
Lewistown, PA 17044-3404

Phone

(814) 266-1491

Fax

(814) 266-1548

NPI assigned

Nov 4, 2013

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Larry J Nulton, PHDNPI 1497896906

Title

President

Phone

(814) 262-0025

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry J Nulton, PHD

  • Clinical Psychologist
  • Johnstown, PA
  • NPI 1497896906
  Authorized official Same address or phone
• Greg A Lobb, PH.D.

  • Psychologist
  • Pittsburgh, PA
  • NPI 1275531329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1417386160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COLLEGE PARK PLZ",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042833",
            "telephone_number": "814-266-1491",
            "fax_number": "814-266-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GREEN AVE EXT",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170443404",
            "telephone_number": "814-266-1491",
            "fax_number": "814-266-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERSTAR ADVOCACY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "NULTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-262-0025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028643170001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028643170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagar R Patel, M.D.
• Trisha Hitendra Patel, PHARMD
• Suresh Shripat Patil, M.D.
• Autumn Lee Peck, PHARMD
• Ashley Anne Pecora, LCSW
• Mackenzie Pegg, PA-C
• Penn Anesthesia Services, PC
• Penn Anesthesia Services, PC-Crna
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01677)
• Sarah Elizabeth Pepperday, CRNP

• Community/Behavioral Health Agency in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.