PICACS CLINIC
NPI 1467905695
Community/Behavioral Health in Bothell, WA

Active since July 23, 2016
10634 E RIVERSIDE DR, SUITE 300, BOTHELL, WA 98011(425) 412-6318 Get Directions Write a Review

NPPES record last updated: July 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Picacs Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICACS CLINIC (NPI 1467905695) is a healthcare organization registered as a community/behavioral health in Bothell, Washington and active in the NPI registry since July 2016. The organization lists Syed Jamal Mustafa, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467905695
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePACIFIC ISLAMIC COMMUNITY AND CULTURAL SERVICES
Location Address10634 E RIVERSIDE DR, SUITE 300Bothell, WA 98011-3757
Mailing Address10634 E Riverside Dr, Suite 300Bothell, WA 98011-3757 · (425) 412-6318
Organization SubpartNo
Authorized OfficialSyed Jamal MustafaMedical Director · (425) 806-5021
Enumeration DateJuly 23, 2016
✔ NPI 1467905695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WA · 200385
Definition
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.
10634 E RIVERSIDE DR, Bothell, WA 98011

Other Names 1

Doing Business AsPicacs Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Picacs Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Picacs Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1093238255
10634 E RIVERSIDE DR STE 130
Bothell, WA 98011
(425) 806-5021
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1609883180
10634 E RIVERSIDE DR STE 130
Bothell, WA 98011
(425) 806-5021
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Islamic Community And Cultural Services's NPI number?

The NPI number for Pacific Islamic Community And Cultural Services is 1467905695. It was assigned to this organization in the NPPES registry on July 23, 2016. The provider is doing business as Picacs Clinic.

Where is Pacific Islamic Community And Cultural Services located?

Pacific Islamic Community And Cultural Services is located at 10634 E Riverside Dr Suite 300, Bothell, WA 98011. The listed phone number is (425) 412-6318.

What is Pacific Islamic Community And Cultural Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Pacific Islamic Community And Cultural Services enrolled in Medicare?

Yes. Pacific Islamic Community And Cultural Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Islamic Community And Cultural Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pacific Islamic Community And Cultural Services, in Mental Health Counselor and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Islamic Community And Cultural Services accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Islamic Community And Cultural Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Islamic Community And Cultural Services was last updated on July 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.