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Contact Information

TRADITIONS PSYCHIATRY GROUP, P.C
1287 FULTON RD
SANTA ROSA, CA95401-4923
 Phone: 707-258-8757
 Fax: 707-253-0457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for TRADITIONS PSYCHIATRY GROUP, P.C

NPI # 1083802979
LBN Legal business name TRADITIONS PSYCHIATRY GROUP, P.C
Authorized official JULIANNE BHARUCHA - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2007
Last updated 04/03/2026 - About 2 months ago
Identifiers
CA Medicaid GPS001190
CA Other CA298849 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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