Healthcare Provider Details

I. General information

NPI: 1033035621
Provider Name (Legal Business Name): CARITAS HEALTH ASSOCIATES OF MASSACHUSETTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E STATE HIGHWAY 260 STE 2
PAYSON AZ
85541-4967
US

IV. Provider business mailing address

600 E STATE HIGHWAY 260 STE 2
PAYSON AZ
85541-4967
US

V. Phone/Fax

Practice location:
  • Phone: 303-808-5566
  • Fax: 888-974-6471
Mailing address:
  • Phone: 303-808-5566
  • Fax: 888-974-6471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERGI GUMUSANELI
Title or Position: FOUNDER
Credential: MD
Phone: 303-808-5566