PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1821414566
Psychiatric Hospital in Portage, MI

Active since March 05, 2014
1350 W CENTRE AVE STE 100, PORTAGE, MI 49024(269) 910-7327(269) 910-7328 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1821414566) is a healthcare organization registered as a psychiatric hospital in Portage, Michigan and active in the NPI registry since March 2014. The organization lists Diane M Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1821414566
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES
Location Address1350 W CENTRE AVE STE 100Portage, MI 49024-5361
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Fax(269) 910-7328
Organization SubpartNo
Authorized OfficialDiane M FennemaManaged Care Administrator · (616) 281-6372
Enumeration DateMarch 5, 2014
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1821414566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License Licensed in MI · 1080000018
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License SA0390191 (MI)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1350 W CENTRE AVE STE 100, Portage, MI 49024

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Rest Christian Mental Health Services's NPI number?

The NPI number for Pine Rest Christian Mental Health Services is 1821414566. It was assigned to this organization in the NPPES registry on March 5, 2014.

Where is Pine Rest Christian Mental Health Services located?

Pine Rest Christian Mental Health Services is located at 1350 W Centre Ave Ste 100, Portage, MI 49024. The listed phone number is (269) 910-7327.

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

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Pine Rest Christian Mental Health Services was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.