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Organization
TRADITIONS PSYCHIATRY GROUP, P.C
Active
Organization
TRADITIONS PSYCHIATRY GROUP, P.C
Active
Other names
Traditions Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE BHARUCHA (CFO)
(775) 762-3679
Entity
Organization
Contact information
Practice address
1287 FULTON RD, SANTA ROSA, CA 95401-4923
(707) 258-8757
(707) 253-0457
Mailing address
900 LARKSPUR LANDING CIR STE 160, LARKSPUR, CA 94939-1766
(707) 258-8757
(707) 253-0457
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA298849
MEDICARE PTAN
CA
05
—
GPS001190
—
CA
Enumeration date
10/04/2007
Last updated
04/03/2026
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