Peerstar Supportive Concepts

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEERSTAR SUPPORTIVE CONCEPTS

Practice address

3929 Perkiomen Avenue
Reading, PA 19606-2718

Phone

(888) 733-7781

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By 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

Larry J Nulton, PHDNPI 1497896906

Title

President

Phone

(814) 262-0025

Specialties & licenses 1

Addresses

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1649021924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COLLEGE PARK PLAZA",
            "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": "3929 PERKIOMEN AVENUE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062718",
            "telephone_number": "888-733-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEERSTAR SUPPORTIVE CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "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_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Transportation and Home Care
• Casey L Peck
• Pediatric Dentistry of Reading P.C.
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Therapy and Feeding Services
• Frances J Pellegrino
• Pelvic Foundations, LLC
• Suranny Pena
• Mihaela Pendos, FNP
• Leslie Penecale, RN IBCLC

• Community/Behavioral Health Agency in Reading, PA
• Providers in Reading, 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 Mar 27, 2024; 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.