Organization Active NPI

Mettamerica

  • Psychiatry Physician
  • Payson, AZ
National Provider Identifier
1851922512
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
METTAMERICA
Practice address
600 E State Highway 260 Ste 2
Payson, AZ 85541-4967
Phone
(480) 788-6070
NPI assigned
Jan 31, 2020
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ergi GumusaneliNPI 1225283260
Title
President
Phone
(303) 808-5566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

600 E State Highway 260 Ste 2
Payson, AZ 85541-4967

Mailing address

600 E State Highway 260 Ste 2
Payson, AZ 85541-4967

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1851922512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E STATE HIGHWAY 260 STE 2",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE HIGHWAY 260 STE 2",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414967",
            "telephone_number": "480-788-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTAMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "GUMUSANELI",
        "authorized_official_first_name": "ERGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-808-5566"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.