Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1174532147
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Q: 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.

Active since August 07, 2006

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 1174532147) is a healthcare organization registered as a psychiatry in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization lists Diane M Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1174532147

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 455-5000

Organization SubpartYes

Authorized OfficialDiane M FennemaManaged Care Administrator · (616) 281-6372

Enumeration DateAugust 7, 2006

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1174532147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

300 68TH ST SE, Grand Rapids, MI 49548

Open in Google Maps ↗

Other Identifiers 7

Other350D148360MI · Pediatrics

OtherP10D11275MI · Psychologists-ma, Doctora

Other260D17625MI · Psychiatrists

Other680D16189MI · Psychologists

Other70D16083MI · Multispecialty

Other110D148370MI · Internal Md

Other500D11133MI · Nurse Practicioners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)