Healthcare Provider Details

I. General information

NPI: 1487397642
Provider Name (Legal Business Name): CARITAS HEALTH ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 N 8TH ST STE 108
GRAND JUNCTION CO
81501-8808
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:
Mailing address:
  • Phone: 303-808-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry 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 TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ERGI GUMUSANELI
Title or Position: CEO
Credential:
Phone: 303-808-5566