PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1033129101
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI
About Pine Rest Christian Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE REST CHRISTIAN MENTAL HEALTH SERVICES (NPI 1033129101) is a healthcare organization registered as a psychiatry in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Diane Fennema, Managed Care Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D1081173
Pine Rest Christian Mental Health Services · Grand Rapids, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pine Rest Christian Mental Health Services's NPI number?
The NPI number for Pine Rest Christian Mental Health Services is 1033129101. It was assigned to this organization in the NPPES registry on August 9, 2006.
Where is Pine Rest Christian Mental Health Services located?
Pine Rest Christian Mental Health Services is located at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.
What is Pine Rest Christian Mental Health Services's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Does Pine Rest Christian Mental Health Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D1081173) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pine Rest Christian Mental Health Services was last updated on November 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
