Provider Demographics
NPI:1265018717
Name:TRANSFORMATIONS ADULT & GERIATRIC PSYCHIATRY PC
Entity Type:Organization
Organization Name:TRANSFORMATIONS ADULT & GERIATRIC PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BHARUCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-989-1921
Mailing Address - Street 1:1141 CLAY AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1191
Mailing Address - Country:US
Mailing Address - Phone:570-989-1921
Mailing Address - Fax:877-511-8663
Practice Address - Street 1:1141 CLAY AVE STE 3
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18510-1191
Practice Address - Country:US
Practice Address - Phone:570-989-1921
Practice Address - Fax:877-511-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty