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 1891703252
Psychiatry & Neurology - Psychiatry in Grand Rapids, 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 03, 2006

3225 N EVERGREEN DR NE STE 301, GRAND RAPIDS, MI 49525(616) 364-1500(616) 364-6400 Get Directions Write a Review

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

Record update history: Jul 21, 2022, Nov 4, 2020 (2 updates tracked since 2020).

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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 1891703252) 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 M Fennema, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1891703252

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePINE REST CHRISTIAN MENTAL HEALTH SERVICES

Location Address3225 N EVERGREEN DR NE STE 301Grand Rapids, MI 49525-9334

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

Phone(616) 364-1500

Fax(616) 364-6400

Organization SubpartYes

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

Enumeration DateAugust 3, 2006

Last NPPES UpdateJune 18, 20262 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1891703252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X

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

3225 N EVERGREEN DR NE STE 301, Grand Rapids, MI 49525

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Other Identifiers 5

Other500D11133MI · Nurse Practitioner

Other260D17625MI · Psychiatrist

Other680D16189MI · Psychologists

Other800D16222MI · Social Worker

OtherP10D11275MI · Ma Llp/doctoral

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 4

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

JENNIFER MARIE POLING LMSW

Social Worker (Clinical)

3225 N EVERGREEN DR NE STE 301
GRAND RAPIDS, MI 49525

Kent County (616) 364-1500

MRS. DAWN RENEE WALCOTT LMSW

Social Worker (Clinical)

3225 N EVERGREEN DR NE STE 301
GRAND RAPIDS, MI 49525

Kent County (616) 364-1500

EMILY HODYNA

Social Worker

3225 N EVERGREEN DR NE STE 301
GRAND RAPIDS, MI 49525

Kent County (616) 364-1500

KELLY AHTI

Social Worker (Clinical)

3225 N EVERGREEN DR NE STE 301
GRAND RAPIDS, MI 49525

Kent County (616) 364-1500

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 1891703252. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Pine Rest Christian Mental Health Services located?

Pine Rest Christian Mental Health Services is located at 3225 N Evergreen Dr NE Ste 301, Grand Rapids, MI 49525. The listed phone number is (616) 364-1500.

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.

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 58 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.