LARRY J NULTON (PHD) – Clinical Psychologist, NPI 1497896906
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for LARRY J NULTON (PHD)
214 COLLEGE PARK PLZ
JOHNSTOWN, PA 159042833
Phone: (814) 262-0025
Fax: (814) 266-8745
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120313000416 | I | Clinical Psychologist | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 50 | 49 | $0 |
Insurance plans in this area (ZIP 15904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Psychiatry, Neurology, Neuropsychiatry | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | PA | |
| Mental Health Counselor | MD | |
| Nurse Practitioner | PA |
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