Larry J Nulton, PHD
Individual provider Active NPI Clinical Psychologist · Johnstown, PA
NPI 1497896906 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1497896906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS007732L (PA)
- Practice address
- 214 College Park PLZ
Johnstown, PA 15904-2833 - Phone
- (814) 262-0025
- Fax
- (814) 266-8745
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nulton Diagnostic and Treatment Center, PC
Practice addresses (Care Compare)
214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Hyndman Area Health Center Inc |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
| Bedford Family Health Center |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
| Richland Family Health Center |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
| Everett Family Health Center |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
| Johnstown Family Health Center |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
| Hahc Inc Behavioral Health |
Federally qualified health center | Corporate Director | Sep 29, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120313000416 | PA | Practitioner - Clinical Psychologist | 4486540564 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nulton Diagnostic & Treatment Center, PC. | Current |
Accepting new patients | |
| Nulton Diagnostic and Treatment Center | Past | Accepting new patients | |
| Hyndman Area Health Center, Inc | Past |
Accepting new patients | |
| Nulton Diagnostic and Treatment Center | Past | Accepting new patients | |
| Nulton Diagnostic and Treatment Center | Past | Accepting new patients |
Locations
214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS007732L | PA | Yes |
Addresses
Primary practice location
214 College Park PLZ
Johnstown, PA 15904-2833
Mailing address
214 College Park PLZ
Johnstown, PA 15904-2833
Phone (814) 262-0025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1524550 | Medicaid | PA |
Other providers in Johnstown, PA
- Alexis Taylor Novak
- Georgiana Taylor Novatny
- Nulton Diagnostic & Treatment Center, PC
- Nulton Diagnostic & Treatment Center, PC.
- Nulton Diagnostic and Treatment Center
- Tracey Nurmi
- Kory Caitlan O'Hara-Hanley
- William Martin O'Herrick
- Jami Ann Oaks
- Susan Marie Obarsky
All providers in Johnstown, PA · Clinical Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.