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PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1891703252


NPI Information

NPI: 1891703252
Provider Name: PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1700 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 364-1500
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PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a psychiatry psychiatry neurology in Grand Rapids, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1891703252. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525-044
Phone: (616) 364-1500

The provider's authorized official is Diane 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 8/3/2006 and was last updated on 7/21/2022.


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
1103T00000XPsychologistNo
2104100000XSocial WorkerNo
3363L00000XNurse PractitionerNo
42084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1800D16222OTHERMICHIGANSOCIAL WORKER
2680D16189OTHERMICHIGANPSYCHOLOGISTS
3P10D11275OTHERMICHIGANMA LLP/DOCTORAL
4260D17625OTHERMICHIGANPSYCHIATRIST
5500D11133OTHERMICHIGANNURSE PRACTITIONER

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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