# PRISMA COMMUNITY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104929504
- **Authorized official:** CASEY SIMON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (602) 307-5330

## Contact information

- **Practice address:** 1101 N. CENTRAL AVENUE, SUITE 200, PHOENIX, AZ 85004
- **Practice address phone:** (602) 307-5330
- **Practice address fax:** (602) 307-5021
- **Mailing address:** 1101 N CENTRAL AVE STE 200, PHOENIX, AZ 85004-1844
- **Mailing address phone:** (602) 347-0873
- **Mailing address fax:** (602) 246-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 09/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 928418 | — | AZ |