Pine Rest Christian Mental Health Services in Grand Rapids - Psychologist
Pine Rest Christian Mental Health Services - NPI 1780695411
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 1780695411. 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 | 1780695411 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| 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 identification code assigned to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services has been issued the NPI (National Provider Identifier) 1780695411. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Pine Rest Christian Mental Health Services is geographically located?
The Pine Rest Christian Mental Health Services is physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is Pine Rest Christian Mental Health Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pine Rest Christian Mental Health Services is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780695411 to Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services received its 1780695411 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the Pine Rest Christian Mental Health Services's details last updated?
The information pertaining to the Pine Rest Christian Mental Health Services, including its address, specialty, and other details, was most recently updated on 2020-11-04.