Community Psychiatric Clinic Inc

LBN: Community Psychiatric Clinic Inc
Community Psychiatric Clinic Inc is an health care organization with primary practice located at 11000 Lake City Way Ne Suite 200, Seattle WA 98125-6748. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Community Psychiatric Clinic Inc can be contacted via phone (206) 461-3614, or through Symons, Kelcey via phone (206) 545-2387.

Contact Information

Primary practice address
11000 Lake City Way Ne Suite 200 Seattle WA 98125-6748
Phone: (206) 461-3614
Fax: (206) 634-0094
Website:
Map and Directions
Authorized official contact:
Name: Symons, Kelcey
Phone: (206) 545-2387

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 117700 Washington
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 035 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 17087600 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 17087500 Washington

Profile Details

NPI number 1629120159
LBN Legal business name Community Psychiatric Clinic Inc
DBA Doing business as
Authorized official Symons, Kelcey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Sep 26th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629120159 NPPES
Washington MEDICAID 1981802
Washington MEDICAID 1992882
Washington MEDICAID 1992890
Washington MEDICAID 1992650
Washington MEDICAID 1992668
Washington MEDICAID 1992874

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