Pine Rest Christian Mental Health Services in Holland - Psychologist
Pine Rest Christian Mental Health Services - NPI 1285645424
Pine Rest Christian Mental Health Services is a Psychologist in Holland, Michigan. 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 1285645424. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 926 Washington Ave, Holland, Michigan. You can contact this provider via phone number 6168203780. The mailing address for Pine Rest Christian Mental Health Services is 926 Washington Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 926 Washington Ave, Holland, Michigan |
| Phone Number | 6168203780 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1285645424 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 926 Washington Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494237725 |
| Phone Number | 6168203780 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260D17625 | MI | PSYCHIATRISTS | |
| 680D16189 | MI | PSYCHOLOGISTS | |
| 800D16222 | MA | SOCIAL WORKER | |
| 500D11133 | MI | NURSE PRACTICTIONER |
Post Comment/ Review Below
What is the unique identifier code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services (CMS)?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1285645424. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Pine Rest Christian Mental Health Services's physical address?
The Pine Rest Christian Mental Health Services is physically located at 926 Washington Ave, in the city of Holland, MI, with the postal code 494237725.
What is Pine Rest Christian Mental Health Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pine Rest Christian Mental Health Services is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1285645424 to Pine Rest Christian Mental Health Services?
The Centers for Medicare & Medicaid Services assigned the 1285645424 to Pine Rest Christian Mental Health Services on 2006-08-11.
As of what date was the information pertaining to Pine Rest Christian Mental Health Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-04.