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  5. COMMUNITY PSYCHIATRIC CLINIC

COMMUNITY PSYCHIATRIC CLINIC

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Company Details

Legal Name: COMMUNITY PSYCHIATRIC CLINIC
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: February 5th 1953
Date of Dissolution: May 11th 2021
Expiration date: 28 Feb 2021
UBI Number: 600 337 842
FEIN Number: 91-0621380
Purpose: OUR MISSION IS TO ENHANCE THE QUALITY OF LIFE OF OUR CLIENTS BY DELIVERING A FULL CONTINUUM OF HIGH QUALITY, EVIDENCE INFORMED, COMMUNITY-BASED BEHAVIORAL HEALTHCARE SERVICES. WE STRIVE TO ASSURE ACCESS TO ALL IN OUR COMMUNITY WHO SEEK CARE.
ZIP code: 98125
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11000 LAKE CITY WAY NE, SEATTLE, WA, 98125-6748, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 6400 SOUTHCENTER BLVD, TUKWILA, WA, 98188-2547, UNITED STATES

Contact Details

E-Mail: DCRANDALL@CPCWA.ORG
KLAWSON@CPCWA.ORG
klawson@cpcwa.org
Website: www.cpcwa.org
Phone Number: +1 206-461-3614

Nature of Business

COMMUNITY-BASED MENTAL HEALTH, CHEMICAL DEPENDENCY, RESIDENTIAL AND VOCATIONAL SERVICES.

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Registered Agent Information

Name Role Address
COMMUNITY PSYCHIATRIC CLINIC Registered Agent 11000 LAKE CITY WAY NE, SEATTLE, WA, 98125-6748, UNITED STATES

Key Officers & Management

Name Role Address
OREN LANG-FURR Governing Person -
MARILYN COPE Governing Person -
SHANE CRAMER Governing Person -
RANDY PARKER Governing Person -
DOUGLAS CRANDALL CHIEF FINANCIAL OFFICER 11000 LAKE CITY WAY NE, SEATTLE, WA, 98125-6748, UNITED STATES

Unique Entity ID

CAGE Code:
052E6
UEI Expiration Date:
2020-12-09

Business Information

Activation Date:
2019-12-10
Initial Registration Date:
2007-03-09

Commercial and government entity program

CAGE number:
052E6
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-12
CAGE Expiration:
2024-12-11
SAM Expiration:
2020-12-09
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
DOUGLAS CRANDALL

National Provider Identifier

NPI Number:
1326561663
Link:
View on NPI website

Authorized Person:

Name:
KELCEY SYMONS
Role:
ADMIN SERVICES MANAGER
Phone:
2065452387

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

Phone:
+1 206-747-7191

Form 5500 Series

Employer Identification Number (EIN):
910621380
Plan Year:
2020
Number Of Participants:
0
Sponsor's telephone number:
2064613614
File:
View File
Plan Administrator / Signatory:
DOUGLAS CRANDALL(Plan administrator)

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA260P0962
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
$67,506
Base And Exercised Options Value:
$405,036
Base And All Options Value:
$3,899,250
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-09-01
Description:
RESERVED BEDS, BEHAVIORAL HEALTH CARE
Naics Code:
623220: RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE FACILITIES
Product Or Service Code:
Q526: MEDICAL/PSYCH CONSULTATION SVCS
Procurement Instrument Identifier:
VA663C12002
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$67,506
Base And Exercised Options Value:
$67,506
Base And All Options Value:
$67,506
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-08-01
Description:
BEHAVIORAL HEALTH CARE
Naics Code:
623220: RESIDENTIAL MENTAL HEALTH AND SUBSTANCE ABUSE FACILITIES
Product Or Service Code:
Q526: MEDICAL/PSYCH CONSULTATION SVCS
Procurement Instrument Identifier:
VA663C00679
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$66,021
Base And Exercised Options Value:
$66,021
Base And All Options Value:
$396,126
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-09-01
Description:
BEHAVIORAL HEALTH CARE
Naics Code:
621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS)
Product Or Service Code:
Q526: MEDICAL/PSYCH CONSULTATION SVCS

OSHA's Inspections within Industry

Inspection Summary

Date:
2011-04-15
Type:
Complaint
Address:
11000 LAKE CITY WAY NE, SEATTLE, WA, 98126
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1995-04-25
Type:
Complaint
Address:
109 PREFONTAINE PL S, SEATTLE, WA, 98104
Safety Health:
Safety
Scope:
Complete
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
1993-04-26
Type:
Complaint
Address:
109 PREFONTAINE PL S, SEATTLE, WA, 98104
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Court Cases

Filing Date:
2019-08-02
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Labor Management Relations Act
Parties:
SEIU HEALTHCARE 1199NW - Plaintiff
COMMUNITY PSYCHIATRIC CLINIC - Defendant
Filing Date:
2005-08-09
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Other Civil Rights
Parties:
HUNTER LLC - Plaintiff
COMMUNITY PSYCHIATRIC CLINIC - Defendant

Charity/Fundraiser/Trust

Registration Number:
1101083
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2019-11-30

Financial History

Fiscal Begin Date:
2017-01-01
Fiscal End Date:
2017-12-31
Begin Assets:
$31,810,669.00
Revenue:
$23,885,433.00
Program Services:
$19,258,506.00
Expenses:
$19,258,506.00
End Assets:
$31,559,370.00
% To Program Services:
100%
Fiscal Begin Date:
2016-01-01
Fiscal End Date:
2016-12-31
Begin Assets:
$31,719,962.00
Revenue:
$22,332,173.00
Program Services:
$17,536,343.00
Expenses:
$22,147,693.00
End Assets:
$31,810,669.00
% To Program Services:
79%
Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
Begin Assets:
$32,116,372.00
Revenue:
$20,885,111.00
Program Services:
$16,910,820.00
Expenses:
$16,910,820.00
End Assets:
$31,719,962.00
% To Program Services:
100%
Fiscal Begin Date:
2014-01-01
Fiscal End Date:
2014-12-31
Begin Assets:
$31,186,033.00
Revenue:
$21,572,348.00
Program Services:
$16,629,728.00
Expenses:
$20,438,445.00
End Assets:
$32,116,372.00
% To Program Services:
81%
Fiscal Begin Date:
2013-01-01
Fiscal End Date:
2013-12-31
Begin Assets:
$30,738,837.00
Revenue:
$19,610,816.00
Program Services:
$15,682,521.00
Expenses:
$19,174,659.00
End Assets:
$31,186,033.00
% To Program Services:
82%
Registration Number:
1300615
Type:
CHARITABLE TRUST
Status:
Involuntarily Closed
Renewal Date:
2019-11-30

Financial History

Fiscal Begin Date:
2017-01-01
Fiscal End Date:
2017-12-31
Begin Assets:
$31,810,669.00
Revenue:
$23,885,433.00
Expenses:
$23,953,051.00
End Assets:
$31,559,370.00
Compensation:
$818,169.00
Grant Contributions Program Service:
$23,763,291.00
Fiscal Begin Date:
2016-01-01
Fiscal End Date:
2016-12-31
Begin Assets:
$31,719,962.00
Revenue:
$22,332,173.00
Expenses:
$22,147,693.00
End Assets:
$31,810,669.00
Compensation:
$1,149,802.00
Grant Contributions Program Service:
$17,536,343.00
Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
Begin Assets:
$32,116,372.00
Revenue:
$20,885,111.00
Expenses:
$21,381,859.00
End Assets:
$31,719,962.00
Compensation:
$901,353.00
Grant Contributions Program Service:
$16,910,820.00
Fiscal Begin Date:
2014-01-01
Fiscal End Date:
2014-12-31
Begin Assets:
$31,186,033.00
Revenue:
$21,572,348.00
Expenses:
$20,438,445.00
End Assets:
$32,116,372.00
Compensation:
$751,530.00
Grant Contributions Program Service:
$16,629,728.00
Fiscal Begin Date:
2013-01-01
Fiscal End Date:
2013-12-31
Begin Assets:
$30,738,837.00
Revenue:
$19,610,816.00
Expenses:
$19,174,659.00
End Assets:
$31,186,033.00
Compensation:
$833,859.00
Grant Contributions Program Service:
$15,682,521.00

Related by address

11000 LAKE CITY WAY NE, SEATTLE, WA, 98125-6748, UNITED STATES

SAFE HAVEN ASSOCIATES
WA NONPROFIT CORPORATION - Administratively Dissolved
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