PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1033129101
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

NPI Status: Active since August 09, 2006

Contact Information

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About PINE REST CHRISTIAN MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Pine Rest Christian Mental Health Services, a provider established in Grand Rapids, Michigan operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1033129101 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pine Rest Christian Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Diane Fennema (Managed Care Administrator)

NPI
1033129101
Provider Name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Location Phone
(616) 455-5000
Mailing Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Mailing Phone
(616) 455-5000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-09-2006
Last Update Date
11-04-2020
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A psychiatrist like Pine Rest Christian Mental Health Services are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE FENNEMA

Authorized Official Title
MANAGED CARE ADMINISTRATOR
Authorized Official Phone
(616) 281-6372

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
700D16083OTHER (01)MIBC/BS MULTISPECIALITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033129101
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063221810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 2 + 1 + 8 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1033129101 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

EMERGENCY PHYSICIANS INC PC

General Practice

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

JAIME AYALA M.D.

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5270

WILLIAM H BEUTE M.D.

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5270

ALAN M ARMSTRONG M.D.

General Practice

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

CARLOS A MARCANO MD

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

GARY A BURKHART PH.D.

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

RICHARD BAEZ PSY.D., LLP

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

DANIEL MARK SCHELLENBERG MD

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

MELINDA JUNE WALDROP MD

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 281-6372

GARY L RICH MD

Psychiatry & Neurology

(Psychiatry)

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

DR. KIMBERLY JOY CURYTO PH.D.

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

CONSTANCE LOUISE DEVANTIER PH.D.

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

THOMAS J ELZINGA MA, LLP

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

MARK E DEVRIES PH.D.

Clinical Neuropsychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

JUDITH ANN DREW MA, LLP

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

KATHY MAY PALKA MA, LLP

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

THOMAS WILLIAM GRAHAM MA, LLP

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

THOMAS SCOTT HALSTEAD PH.D.

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

BARBARA E GRITTER LMSW, ACSW

Social Worker

(Clinical)

300 68TH ST SE
SUITE B
GRAND RAPIDS, MI
ZIP 49548

(616) 281-6345

BRUCE KEVIN RETTERATH PH.D.

Psychologist

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548

(616) 455-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033129101, enumerated as an "organization" on August 09, 2006.

The provider is located at 300 68TH ST SE GRAND RAPIDS, MI 49548 and the phone number is (616) 455-5000.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.