PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1467873414

Speech-Language Pathologist in Grand Rapids, MI

NPI 1467873414 Organization Speech-Language Pathologist

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 NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES
Provider Location Address300 68TH ST SE GRAND RAPIDS, MI 49548
Provider Mailing Address300 68TH ST SE GRAND RAPIDS, MI 49548
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-18-2013
Last Update Date11-04-2020


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
Taxonomy DescriptionThe 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

Get Directions


Mailing Address

PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000



Authorized Official

Authorized Official Name DIANE FENNEMA
Authorized Official TitleMANGE CARE ADMINISTRATOR
Authorized Official Phone(616) 281-6372

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
1114920550EMERGENCY PHYSICIANS INC PC
Organization
General Practice300 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 Practice300 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
Psychologist300 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
Psychologist300 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
1669413969DR. KIMBERLY JOY CURYTO PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1053352807 CONSTANCE LOUISE DEVANTIER PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1033153010 THOMAS J ELZINGA MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1265476220 MARK E DEVRIES PH.D.
Individual
Clinical Neuropsychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1124062146 JUDITH ANN DREW MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1689610487 KATHY MAY PALKA MA, LLP
Individual
Psychologist300 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.