Provider Demographics
NPI:1487397642
Name:CARITAS HEALTH ASSOCIATES LLC
Entity type:Organization
Organization Name:CARITAS HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERGI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMUSANELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-808-5566
Mailing Address - Street 1:600 E STATE HIGHWAY 260 STE 2
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-4967
Mailing Address - Country:US
Mailing Address - Phone:303-808-5566
Mailing Address - Fax:
Practice Address - Street 1:600 E STATE HIGHWAY 260 STE 2
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4967
Practice Address - Country:US
Practice Address - Phone:303-808-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty