PINE REST CHRISTIAN MENTAL HEALTH SERVICES - NPI 1487837506

Q: What is Pine Rest Christian Mental Health Services's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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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 1487837506) is a healthcare organization registered as a pediatrics in Grand Rapids, Michigan and active in the NPI registry since December 2007. The organization lists Diane M Fennema, Managed Care Administator, as its authorized official.

NPPES Registry Identity

NPI1487837506

Entity TypeOrganization

Primary Taxonomy208000000X

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 Administator · (616) 281-6372

Enumeration DateDecember 12, 2007

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1487837506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedPsychiatric HospitalTaxonomy 283Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

300 68TH ST SE, Grand Rapids, MI 49548

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Other Identifiers 8

OtherOD16083MI · Bc/bs Psychiatry-multi Sp

OtherOD16222MI · Bc/bs Social Worker

OtherOD14837MI · Bc/bs Gneral Medicine

OtherOD17625MI · Bc/bs Psychiatry

OtherOD16189MI · Bc/bs Psychologist

OtherOD11275MI · Bc/bs Ma, Llp, Doctoral

OtherOD11133MI · Bc/bs Nurse Practioner

OtherOD14836MI · Bc/bs Pediatrics

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)