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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEALING ROOTS THERAPEUTICS, A PSYCHIATRIC NURSING INCORPORATION
NPI 1043126501
Nurse Practitioner - Psychiatric/Mental Health in Tracy, CA

Active since August 24, 2026
632 W 11TH ST, TRACY, CA 95376(510) 509-4059 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Healing Roots Therapeutics, A Psychiatric Nursing Incorporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING ROOTS THERAPEUTICS, A PSYCHIATRIC NURSING INCORPORATION (NPI 1043126501) is a healthcare organization registered as a psychiatric/mental health in Tracy, California and active in the NPI registry since August 2026. The organization lists Supreet Kaur, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1043126501
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEALING ROOTS THERAPEUTICS, A PSYCHIATRIC NURSING INCORPORATION
Location Address632 W 11TH STTracy, CA 95376-3856
Mailing Address632 W 11th StTracy, CA 95376-3856 · (510) 509-4059
Phone(510) 509-4059
Organization SubpartNo
Authorized OfficialSupreet KaurPmhnp · (510) 509-4059
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 23, 2026
✔ NPI 1043126501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
632 W 11TH ST, Tracy, CA 95376
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON DENISE WASHINGTON MD
Hospitalist
632 W 11TH ST, SUITE 211
TRACY, CA 95376
San Joaquin County (209) 836-3384
ALONDRA RAMOS
Speech-Language Pathologist
632 W 11TH ST
TRACY, CA 95376
San Joaquin County (209) 237-2484
SHARON DENISE WASHINGTON A MEDICAL CORPORATION
Obstetrics & Gynecology
632 W 11TH ST, #211
TRACY, CA 95376
San Joaquin County (209) 836-3384
MICHAEL D HURST DO
Internal Medicine
632 W 11TH ST, SUITE 119
TRACY, CA 95376
San Joaquin County (209) 832-5500
MITCHELL L SEITZ M.D.
Internal Medicine
632 W 11TH ST, STE 111
TRACY, CA 95376
San Joaquin County (209) 833-7135
DR. DEVINDER K MAKKER MD
Family Medicine
632 W 11TH ST, # 119
TRACY, CA 95376
San Joaquin County (209) 833-0272
LARRY J LO MD INC
Obstetrics & Gynecology
632 W 11TH ST, SUITE 119
TRACY, CA 95376
San Joaquin County (209) 229-3700
MRS. ANGELA BRIANNE NJOROGE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
632 W 11TH ST
TRACY, CA 95376
San Joaquin County (209) 844-6874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Roots Therapeutics, A Psychiatric Nursing Incorporation's NPI number?

The NPI number for Healing Roots Therapeutics, A Psychiatric Nursing Incorporation is 1043126501. It was assigned to this organization in the NPPES registry on August 24, 2026.

Where is Healing Roots Therapeutics, A Psychiatric Nursing Incorporation located?

Healing Roots Therapeutics, A Psychiatric Nursing Incorporation is located at 632 W 11th St, Tracy, CA 95376. The listed phone number is (510) 509-4059.

What is Healing Roots Therapeutics, A Psychiatric Nursing Incorporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Healing Roots Therapeutics, A Psychiatric Nursing Incorporation was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.