Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRISMA COMMUNITY CARE
NPI 1104929504
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Prisma Community Care's NPI number?

The NPI number for Prisma Community Care is 1104929504. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Southwest Center.

Q: What is Prisma Community Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 07, 2006CLIA 03D1085957 · Waiver

1101 N. CENTRAL AVENUE, SUITE 200, PHOENIX, AZ 85004(602) 307-5330(602) 307-5021 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, Sep 2, 2025, Jul 6, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Prisma Community Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISMA COMMUNITY CARE (NPI 1104929504), doing business as Southwest Center, is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Casey Simon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104929504

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePRISMA COMMUNITY CARE

Location Address1101 N. CENTRAL AVENUE, SUITE 200Phoenix, AZ 85004

Mailing Address1101 N Central Ave Ste 200Phoenix, AZ 85004-1844 · (602) 347-0873 · Fax (602) 246-1980

Phone(602) 307-5330

Fax(602) 307-5021

Organization SubpartNo

Authorized OfficialCasey SimonAuthorized Official · (602) 307-5330

Enumeration DateSeptember 7, 2006

Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1104929504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1101 N. CENTRAL AVENUE, Phoenix, AZ 85004

Open in Google Maps ↗

Other Names 1

Doing Business AsSouthwest Center

Other Identifiers 1

Medicaid928418AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1085957

Prisma Community Care · Phoenix, AZ

Active · expires Jun 30, 2028

CLIA Number03D1085957

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 1, 2026

Certificate Expiration DateJune 30, 2028

Laboratory DirectorHeather Taylor

Laboratory Phone(602) 595-8146

Laboratory LocationPrisma Community Care1101 N Central Ave, Suite 200, Phoenix, AZ 85004

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prisma Community Care's NPI number?

The NPI number for Prisma Community Care is 1104929504. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Southwest Center.

Where is Prisma Community Care located?

Prisma Community Care is located at 1101 N. Central Avenue Suite 200, Phoenix, AZ 85004. The listed phone number is (602) 307-5330.

What is Prisma Community Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Prisma Community Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1085957) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prisma Community Care accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Prisma Community Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prisma Community Care was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.