Organization Active NPI

Prism Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1619662418
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Feb 15, 2024

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.