PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1467873414
Speech-Language Pathologist in Grand Rapids, MI
About PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Pine Rest Christian Mental Health Services is a provider established in Grand Rapids, Michigan specializing in speech-language pathologist. The NPI number of Pine Rest Christian Mental Health Services is 1467873414 and was assigned on December 2013. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 2 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 (Mange Care Administrator)
| NPI | 1467873414 |
| Provider Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Provider Location Address | 300 68TH ST SE GRAND RAPIDS, MI 49548 |
| Provider Mailing Address | 300 68TH ST SE GRAND RAPIDS, MI 49548 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 12-18-2013 |
| Last Update Date | 11-04-2020 |
Primary Taxonomy
| Taxonomy Code | 235Z00000X |
| Classification | Speech-Language Pathologist |
| Type | Speech, Language and Hearing Service Providers |
| Taxonomy Description | The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Business Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000
Mailing Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000
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.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114920550 | EMERGENCY PHYSICIANS INC PC Organization | General Practice | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1043260177 | ROBERT STEVEN LAFLEUR D.O. Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1235180720 | JAIME AYALA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5270 |
| 1093761827 | WILLIAM H BEUTE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5270 |
| 1841246634 | JACK ARMEN MAHDASIAN MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1174579767 | ALAN M ARMSTRONG M.D. Individual | General Practice | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1598711186 | JEFFREY WAYNE JACKSON MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1639125040 | CARLOS A MARCANO MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1598712184 | GARY A BURKHART PH.D. Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1235176249 | MICHAEL ANDREW MICHELAKIS MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1841237765 | RICHARD BAEZ PSY.D., LLP Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1043250368 | DANIEL MARK SCHELLENBERG MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1659311801 | MELINDA JUNE WALDROP MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 281-6372 |
| 1285674507 | GARY L RICH MD Individual | Psychiatry & Neurology (Psychiatry) | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1669413969 | DR. KIMBERLY JOY CURYTO PH.D. Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1053352807 | CONSTANCE LOUISE DEVANTIER PH.D. Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1033153010 | THOMAS J ELZINGA MA, LLP Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1265476220 | MARK E DEVRIES PH.D. Individual | Clinical Neuropsychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1124062146 | JUDITH ANN DREW MA, LLP Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
| 1689610487 | KATHY MAY PALKA MA, LLP Individual | Psychologist | 300 68TH ST SE GRAND RAPIDS, MI 49548 (616) 455-5000 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.