Pine Rest Christian Mental Health Services in Grand Rapids - Psychologist
Pine Rest Christian Mental Health Services - NPI 1760493993
Pine Rest Christian Mental Health Services is a Psychologist in Grand Rapids, 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 1760493993. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Pine Rest Christian Mental Health Services is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| 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 | 1760493993 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| 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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What is the unique 10-digit identifier code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1760493993 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pine Rest Christian Mental Health Services's facilities are geographically located?
The facilities of Pine Rest Christian Mental Health Services are physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
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.
When did the Pine Rest Christian Mental Health Services receive its 1760493993?
The Pine Rest Christian Mental Health Services was issued its 1760493993 on 2006-08-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Pine Rest Christian Mental Health Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-04.