Pine Rest Christian Mental Health Services in Pella - Psychologist
Pine Rest Christian Mental Health Services - NPI 1326117805
Pine Rest Christian Mental Health Services is a Psychologist in Pella, Iowa. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pine Rest Christian Mental Health Services is 1326117805. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 2611 Washington Street, Pella, Iowa. You can contact this provider via phone number 6416289599 and fax number 6416211493. The mailing address for Pine Rest Christian Mental Health Services is 2611 Washington Street, Pella, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 2611 Washington Street, Pella, Iowa |
| Phone Number | 6416289599 |
| Fax Number | 6416211493 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 1628163726 |
NPI Number Detail
| NPI Number | 1326117805 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 2611 Washington Street |
|---|---|
| City | Pella |
| State | Iowa (IA) |
| Post Code | 50219 |
| Phone Number | 6416289599 |
| Fax Number | 6416211493 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 295840 | IA | -- |
Post Comment/ Review Below
What is the Pine Rest Christian Mental Health Services's 1326117805?
The Pine Rest Christian Mental Health Services's NPI (National Provider Identifier) Number is 1326117805. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pine Rest Christian Mental Health Services is physically located?
The Pine Rest Christian Mental Health Services is physically situated at the following address: 2611 Washington Street, Pella, IA, 50219.
What is Pine Rest Christian Mental Health Services's area of expertise and its corresponding taxonomy classification?
The Pine Rest Christian Mental Health Services's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Pine Rest Christian Mental Health Services receive its 1326117805 assignment from the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services was assigned its 1326117805 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Pine Rest Christian Mental Health Services last refreshed?
The information related to the Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was last updated on 2020-11-04.