PINE REST LAKE ODESSA OFFICE - NPI 1427216241 - Psychiatry & Neurology in Lake Odessa, 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.

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About Pine Rest Lake Odessa Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE REST LAKE ODESSA OFFICE (NPI 1427216241) is a healthcare organization registered as a psychiatry in Lake Odessa, Michigan and active in the NPI registry since May 2008. The organization lists Diane P Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1427216241

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES

Location Address4294 LAUREL DRLake Odessa, MI 48849-9423

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

Phone(616) 891-8770

Organization SubpartYesParent: Pine Rest Lake Odessa Office

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

Enumeration DateMay 29, 2008

Last NPPES UpdateNovember 4, 2020

NPPES CertifiedNovember 4, 2020

✔ NPI 1427216241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedPsychiatric HospitalTaxonomy 283Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

4294 LAUREL DR, Lake Odessa, MI 48849

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Other Names 1

Doing Business AsPine Rest Lake Odessa Office

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.

MICHELLE VANBUREN NP

Nurse Practitioner (Family)