NPI Details
PINE RIVER PSYCHOLOGICAL SERVICES PLLC is a psychologist in Charlevoix, MI. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. PINE RIVER PSYCHOLOGICAL SERVICES PLLC NPI is 1992660005. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
223 BRIDGE ST
CHARLEVOIX, MI
ZIP 49720-400
Phone: (650) 387-3927
The provider's authorized official is Michael Di Martino .
The authorized official title is Managing Member and has the following contact phone number (650) 387-3927.
The enumeration date for this NPI number is 12/20/2025 and was last updated on 12/20/2025.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 103T00000X | Psychologist | | | | Yes |
