Provider Type Icon

COMMUNITY PSYCHIATRIC CLINIC INC NPI 1629120159


NPI Information

NPI: 1629120159
Provider Name: COMMUNITY PSYCHIATRIC CLINIC INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
11000 LAKE CITY WAY NE
SUITE 200
SEATTLE, WA
ZIP 98125
Phone: (206) 461-3614
Get Directions

COMMUNITY PSYCHIATRIC CLINIC INC is a community behavioral health in Seattle, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY PSYCHIATRIC CLINIC INC NPI is 1629120159. The provider is registered as an organization entity type.

The provider's business location address is:

11000 LAKE CITY WAY NE
SUITE 200
SEATTLE, WA
ZIP 98125-748
Phone: (206) 461-3614
Fax: (206) 634-0094

The provider's authorized official is Kelcey Symons .
The authorized official title is Admin Supervisor and has the following contact phone number (206) 545-2387.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 9/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)035WASHINGTONNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder17087600WASHINGTONNo
3261QR0405XClinic/CenterRehabilitation, Substance Use Disorder17087500WASHINGTONNo
4251S00000XCommunity/Behavioral Health117700WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11981802MEDICAIDWASHINGTON
21992874MEDICAIDWASHINGTON
31992650MEDICAIDWASHINGTON
41992668MEDICAIDWASHINGTON
51992890MEDICAIDWASHINGTON
61992882MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.