Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1619987740
Psychiatry & Neurology - Psychiatry in Caledonia, MI

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 09, 2006

6505 CHERRY MEADOW DR SE, CALEDONIA, MI 49316(616) 891-8770 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1619987740) is a healthcare organization registered as a psychiatry in Caledonia, Michigan and active in the NPI registry since August 2006. The organization lists Diane M Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1619987740

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES

Location Address6505 CHERRY MEADOW DR SECaledonia, MI 49316-9484

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

Phone(616) 891-8770

Organization SubpartYes

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

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1619987740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

6505 CHERRY MEADOW DR SE, Caledonia, MI 49316

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Other Identifiers 7

Other500D11133MI · Nurse Practioners

Other680D16189MI · Psychologists

Other800D16222MI · Social Workers

Other350D148360MI · Pediatrics

Other110D148370MI · Internal Md

Other260D17625MI · Psychiatrist

OtherP10D11275MI · Psychologists, 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

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK RECKER LPC

Counselor (Professional)