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PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1235895897


NPI Information

NPI: 1235895897
Provider Name: PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Other Name: PINE REST COMMUNITY SERVICES SUBSTANCE ABUSE

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
320 COMMERCE AVE SW
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 258-7599
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PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a psychiatric hospital in Grand Rapids, MI. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1235895897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pine Rest Community Services Substance Abuse.

The provider's business location address is:

320 COMMERCE AVE SW
GRAND RAPIDS, MI
ZIP 49503-101
Phone: (616) 258-7599

The provider's authorized official is Diane M Fennema .
The authorized official title is Managed Care Administrator and has the following contact phone number (616) 281-6372.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 3/11/2022.


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
1101YP2500XCounselorProfessionalNo
2103T00000XPsychologistNo
3103TC0700XPsychologistClinicalNo
41041C0700XSocial WorkerClinicalNo
52084A0401XPsychiatry & NeurologyAddiction MedicineNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7363A00000XPhysician AssistantNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9363L00000XNurse PractitionerNo
10324500000XSubstance Abuse Rehabilitation FacilityNo
11283Q00000XPsychiatric HospitalYes

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: 4/28/2024

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