PINE REST CHRISTIAN MENTAL HEATTH SERVICES
NPI 1508875667
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

NPI Status: Active since August 07, 2006

Contact Information

310 LAFAYETTE AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 913-1400

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About PINE REST CHRISTIAN MENTAL HEATTH SERVICES

This page provides the complete NPI Profile along with additional information for Pine Rest Christian Mental Heatth Services, a provider established in Grand Rapids, Michigan operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1508875667 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pine Rest Christian Mental Heatth Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Diane Fennema (Managed Care Administrator)

NPI
1508875667
Provider Name
PINE REST CHRISTIAN MENTAL HEATTH SERVICES
Entity Type
Organization
Location Address
310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503
Location Phone
(616) 913-1400
Mailing Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Mailing Phone
(616) 455-5000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-07-2006
Last Update Date
11-04-2020
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A psychiatrist like Pine Rest Christian Mental Heatth Services are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE FENNEMA

Authorized Official Title
MANAGED CARE ADMINISTRATOR
Authorized Official Phone
(616) 281-6372

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
800D16222OTHER (01)MISOCIAL WORKERS
260D17625OTHER (01)MIPSYCHIATRISTS
500D11133OTHER (01)MINURSE PRACT.
680D16189OTHER (01)MIPSYCHOLOGISTS
P10D11275OTHER (01)MIPSYCHOLGOGISTS-MA, DOCTOR

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508875667, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 6 + 7 + 1 + 0 + 6 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508875667.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, STE 400
GRAND RAPIDS, MI 49503
Psychologist (Counseling)
310 LAFAYETTE AVE SE, SUITE 325
GRAND RAPIDS, MI 49503
Specialist
310 LAFAYETTE AVE SE, SUITE 405
GRAND RAPIDS, MI 49503
Psychologist
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Internal Medicine (Pulmonary Disease)
310 LAFAYETTE AVE SE, STE 415
GRAND RAPIDS, MI 49503
Social Worker
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Internal Medicine (Gastroenterology)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 301
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Anesthesiology
310 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, SUITE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Adult Health)
310 LAFAYETTE AVE SE, STE 410
GRAND RAPIDS, MI 49503
Surgery (Vascular Surgery)
310 LAFAYETTE AVE SE, SUITE 301
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508875667, enumerated as an "organization" on August 07, 2006.

The provider is located at 310 LAFAYETTE AVE SE GRAND RAPIDS, MI 49503 and the phone number is (616) 913-1400.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.