NPIMap

Organization Active NPI

Traditions Psychiatry Group, P.C

Doing business as Traditions Behavioral Health

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1083802979
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TRADITIONS PSYCHIATRY GROUP, P.C
Doing business as
Traditions Behavioral Health
Practice address
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone
(707) 258-8757
Fax
(707) 253-0457
NPI assigned
Oct 4, 2007
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julianne Bharucha
Title
Cfo
Phone
(775) 762-3679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1287 Fulton Rd
Santa Rosa, CA 95401-4923

Mailing address

900 Larkspur Landing Cir Ste 160
Larkspur, CA 94939-1766
Phone (707) 258-8757

Other identifiers 2

IdentifierTypeStateIssuer
GPS001190MedicaidCA
CA298849OtherCAMEDICARE PTAN

Other names 1

  • Traditions Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000677 CA Part B Supplier - Clinic/Group Practice 8729984539 Receives reassigned benefits from 97 practitioners
Practice locations: San Luis Obispo, CA; Templeton, CA; Santa Rosa, CA; Santa Barbara, CA; Novato, CA; Arroyo Grande, CA; Los Gatos, CA; Long Beach, CA…

National Provider Directory

National Provider Directory

Locations

900 Larkspur Landing Cir
Ste 160
Larkspur, CA 94939

900 Larkspur Landing Cir
Ste 285
Larkspur, CA 94939

1580 1st St
Napa, CA 94559
Phone (707) 200-8225

421 Walnut St
Ste 210
Napa, CA 94559

8835 Vans St
Paramount, CA 90723
Phone (562) 346-4272

Practitioners & affiliated clinicians

Practitioners 136

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.

View all 136

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1083802979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LARKSPUR LANDING CIR STE 160",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391766",
            "telephone_number": "707-258-8757",
            "fax_number": "707-253-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 FULTON RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014923",
            "telephone_number": "707-258-8757",
            "fax_number": "707-253-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS PSYCHIATRY GROUP, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "BHARUCHA",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-762-3679"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA298849",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.