Healthcare Provider Details

I. General information

NPI: 1912705724
Provider Name (Legal Business Name): HARMONY MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 04/17/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 MALETA LN STE 201
CASTLE ROCK CO
80108-7613
US

IV. Provider business mailing address

757 MALETA LN STE 201
CASTLE ROCK CO
80108-7613
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-3077
  • Fax:
Mailing address:
  • Phone: 303-409-7446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROSANA GRAVES
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 303-641-9679