COMMUNITY PSYCHIATRIC CLINIC INC (NPI# 1184162703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184162703 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PSYCHIATRIC CLINIC INC |
| Practice Address |
11000 Lake City Way Ne Seattle WA 98125-6748 |
| Practice Telephone | 2064613614 |
| Mailing Telephone | 2064613614 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | MRS. KIRSTEN ANN STASZAK (INTAKE SPECIALIST) |
| Authorized Official Telephone | 2063663039 |
| Authorized Official Credential | BA, MHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | CG60147073 | WA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326561663 | Community Psychiatric Clinic Inc | Case Management | 11000 Lake City Way Ne Ste 200, Seattle, WA 98125-6748 | 2017-07-19 |
| 1679860860 | Community Psychiatric Clinic Inc | General Acute Care Hospital | 10501 Meridian Ave N, Suite D, Seattle, WA 98133-9509 | 2011-07-07 |
| 1629120159 | Community Psychiatric Clinic Inc | Clinic/Center | 11000 Lake City Way Ne, Suite 200, Seattle, WA 98125-6748 | 2007-01-17 |
| Street Address |
11000 LAKE CITY WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265518062 | Nipali A Venkatesh | Psychiatry & Neurology | 11000 Lake City Way Ne, Community Psychiatric Clinics, Seattle, WA 98104 | 2006-10-27 |
| 1750991436 | Salina H Zewoldi | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-08-06 |
| 1851919518 | Annalise N Minello | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-07-09 |
| 1053933093 | Amanda M Ross | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-05-13 |
| 1508487703 | Mineko Hasegawa | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-04-29 |
| 1760001325 | Jessica Morris | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-04-14 |
| 1902432503 | Carol Louise Bowler | Licensed Practical Nurse | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-03-16 |
| 1811521560 | Luisa Jia-jun Kwok | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-03-02 |
| 1316570419 | Chelsey Ann Cragin | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-02-17 |
| 1225661325 | Junho Sebastian Lee | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426550 | Rachel Schmidt | Case Management | 2115 33rd Ave W, Seattle, WA 98199-3964 | 2020-10-27 |
| 1811504475 | Titanium Healthcare of Washington Inc. | Case Management | 600 Stewart St Ste 300-400, Seattle, WA 98101-1230 | 2020-09-28 |
| 1689229577 | Peer Seattle | Case Management | 1520 Bellevue Avenue, Suite 100, Seattle, WA 98122-7602 | 2019-08-07 |
| 1376104885 | Trac Associates | Case Management | 215 6th Ave N # 100, Seattle, WA 98109-5005 | 2019-06-25 |
| 1972167096 | Society of St. Vincent De Paul Council of Seattle/king County | Case Management | 5950 4th Ave S, Seattle, WA 98108-3208 | 2019-04-24 |
| 1861958753 | Solid Ground Washington | Case Management | 1501 N 45th St, Seattle, WA 98103-6708 | 2019-02-15 |
| 1780190074 | Cares of Washington | Case Management | 1833 N 105th St Ste 201, Seattle, WA 98133-8973 | 2017-12-21 |
| 1437597606 | Everymove, Inc. | Case Management | 411 Fairview Ave N Ste 200, Seattle, WA 98109-5302 | 2013-06-11 |
| 1194077057 | Allied Health Advocates LLC | Case Management | 2811 E Madison St, 206, Seattle, WA 98112-4869 | 2012-10-02 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.