Organization Active NPI

Transformations Adult & Geriatric Psychiatry PC

  • Psychiatry Physician
  • Dunmore, PA
National Provider Identifier
1265018717
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TRANSFORMATIONS ADULT & GERIATRIC PSYCHIATRY PC
Practice address
1141 Clay Ave Ste 3
Dunmore, PA 18510-1191
Phone
(570) 989-1921
Fax
(877) 511-8663
NPI assigned
Mar 23, 2021
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Ashok Bharucha, MDNPI 1932171071
Title
Ceo
Phone
(570) 989-1921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1141 Clay Ave Ste 3
Dunmore, PA 18510-1191

Mailing address

1141 Clay Ave Ste 3
Dunmore, PA 18510-1191
Phone (570) 989-1921

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1265018717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CLAY AVE STE 3",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101191",
            "telephone_number": "570-989-1921",
            "fax_number": "877-511-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CLAY AVE STE 3",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101191",
            "telephone_number": "570-989-1921",
            "fax_number": "877-511-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS ADULT & GERIATRIC PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-07-20",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "BHARUCHA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-989-1921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.