Active NPI
Prism Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
National Provider Identifier
1619662418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PRISM BEHAVIORAL HEALTH
- Practice address
- 3312 Langston Dr
Plano, TX 75025-3685 - Phone
- (478) 954-2557
- NPI assigned
- Apr 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loukisha Roberts
- Title
- Owner
- Phone
- (478) 285-9950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3312 Langston Dr
Plano, TX 75025-3685
Mailing address
539 W Commerce St
Dallas, TX 75208-1953
Other practice location 1
26120 N Poseidon Rd
Florence, AZ 85132-5537
Phone (478) 285-9950
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1619662418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 LANGSTON DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750253685",
"telephone_number": "478-954-2557"
}
],
"practiceLocations": [
{
"address_1": "26120 N Poseidon Rd",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AZ",
"postal_code": "851325537",
"country_code": "US",
"telephone_number": "478-285-9950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRISM BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-07",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "LOUKISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-285-9950"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.