Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prisma Community Care

Organization Clinical Psychologist · NPI 1104929504

Prisma Community Care is a Clinical Psychologist in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

1101 N Central Ave Ste 200
Phoenix, AZ 85004
Phone: (602) 307-5330
Fax: (602) 307-5021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X
Clinical Psychologist Taxonomy 103TC0700X
Counseling Psychologist Taxonomy 103TC1900X
Public Health or Welfare Agency Taxonomy 251K00000X

Record details

NPI number1104929504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Casey Simon — Authorized Official · (602) 307-5330
Other names Southwest Center
NPI enumeratedSeptember 7, 2006
Last updated in NPPESSeptember 2, 2025
Certification dateOctober 25, 2024
Mailing address1101 N Central Ave Ste 200, Phoenix, AZ 85004-1844

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