PINE REST CHRISTIAN MENTAL HEALTH SERVICES – NPI #1275544413
Psychiatry & Neurology

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 is a psychiatry & neurologist located in GRANDVILLE, MI. NPPES has assigned the NPI number 1275544413 to PINE REST CHRISTIAN MENTAL HEALTH SERVICES on August 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 6 years ago on Nov 04, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINE REST CHRISTIAN MENTAL HEALTH SERVICES below.

NPI Profile for
PINE REST CHRISTIAN MENTAL HEALTH SERVICES

NPI Number
1275544413
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Primary location
4211 PARKWAY PLACE
GRANDVILLE, MI 49418
Phone: (616) 222-3700 Fax:
Mailing address
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone: (616) 455-5000 Fax:
Organization Subpart
Yes - PINE REST CHRISTIAN MENTAL HEALTH SERVICES is subpart of another organization.
Authorized Official
DIANE FENNEMA
MANAGED CARE ADMINISTRATOR
Phone: (616) 281-6372
Updated
Certification Date
Nov 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMA, LLP/DOCTORALMIP10D11275
OTHERNURSE PRACTITIONERMI500D11133
OTHERPSYCHIATRISTMI260D17625
OTHERPSYCHOLOGISTMI680D16189
OTHERSOCIAL WORKERMI800D16222
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
363L00000X
- Nurse Practitioner
104100000X
- Social Worker
103T00000X
- Psychologist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.