PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1124171954
Psychiatric Hospital in Traverse City, MI
NPI Status: Active since January 18, 2007
Contact Information
700 E HAMMOND RD STE 200
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 947-2255
Fax: (231) 947-5982
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Psychiatric Hospital
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 Traverse City, Michigan operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1124171954 assigned on January 2007. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated June 2026. Pine Rest Christian Mental Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Diane M Fennema (Managed Care Administrator)
- NPI
- 1124171954
- Provider Name
- PINE REST CHRISTIAN MENTAL HEALTH SERVICES
- Entity Type
- Organization
- Location Address
- 700 E HAMMOND RD STE 200 TRAVERSE CITY, MI 49686
- Location Phone
- (231) 947-2255
- Location Fax
- (231) 947-5982
- 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
- 01-18-2007
- Last Update Date
- 06-18-2026
- Code Navigator
Location Map
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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
| 4 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| 5 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 6 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 7 | 1041S0200X | Behavioral Health & Social Service Providers | Social Worker | |
| 8 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 10 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 11 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 12 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
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.
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 |
|---|---|---|---|
| 260D17625 | OTHER (01) | MI | BCBS PSYCHIATRIST |
| 680D16189 | OTHER (01) | MI | PSYCHOLOGISTS |
| P10D11275 | OTHER (01) | MI | PSYCHOLOGISTS-DOCTORAL LL |
| 110D148370 | OTHER (01) | MI | INTERNAL MEDICINE |
| 350D148360 | OTHER (01) | MI | PEDIATRICS |
| 500D11133 | OTHER (01) | MI | NURSE PRACTIONERS |
| 800D16222 | OTHER (01) | MI | SOCIAL WORKERS |
| PSYCHIATIRSTS | OTHER (01) | MI | MULTISPECIALTY |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124171954, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124171954, enumerated as an "organization" on January 18, 2007.
The provider is located at 700 E HAMMOND RD STE 200 TRAVERSE CITY, MI 49686 and the phone number is (231) 947-2255.
Psychiatric Hospital with taxonomy code 283Q00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
