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

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

Active since August 07, 2006

310 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503(616) 913-1400 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Pine Rest Christian Mental Heatth Services NPPES

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

PINE REST CHRISTIAN MENTAL HEATTH SERVICES (NPI 1508875667) is a healthcare organization registered as a psychiatry in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization lists Diane Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1508875667

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePINE REST CHRISTIAN MENTAL HEATTH SERVICES

Location Address310 LAFAYETTE AVE SEGrand Rapids, MI 49503-4693

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

Phone(616) 913-1400

Organization SubpartYesParent: Pine Rest Christian Mental Health Services

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

Enumeration DateAugust 7, 2006

Last NPPES UpdateNovember 4, 2020

NPPES CertifiedNovember 4, 2020

✔ NPI 1508875667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

310 LAFAYETTE AVE SE, Grand Rapids, MI 49503

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Other Identifiers 5

Other800D16222MI · Social Workers

Other260D17625MI · Psychiatrists

Other500D11133MI · Nurse Pract.

Other680D16189MI · Psychologists

OtherP10D11275MI · Psycholgogists-ma, Doctor

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