Pine Rest Christian Mental Heatth Services in Grand Rapids - Psychologist
Pine Rest Christian Mental Heatth Services - NPI 1508875667
Pine Rest Christian Mental Heatth Services is a Psychologist in Grand Rapids, Michigan. Pine Rest Christian Mental Heatth Services practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pine Rest Christian Mental Heatth Services is 1508875667. The last update date is 2020-11-04.
Pine Rest Christian Mental Heatth Services's current location address is 310 Lafayette Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169131400. The mailing address for Pine Rest Christian Mental Heatth Services is 310 Lafayette Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Heatth Services |
|---|---|
| Address | 310 Lafayette Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169131400 |
| 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 | 1508875667 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 310 Lafayette Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495034693 |
| Phone Number | 6169131400 |
| 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 |
|---|---|---|---|
| 500D11133 | MI | NURSE PRACT. | |
| 800D16222 | MI | SOCIAL WORKERS | |
| 260D17625 | MI | PSYCHIATRISTS | |
| P10D11275 | MI | PSYCHOLGOGISTS-MA, DOCTOR | |
| 680D16189 | MI | PSYCHOLOGISTS |
Post Comment/ Review Below
What is the Pine Rest Christian Mental Heatth Services's unique identification number?
The Pine Rest Christian Mental Heatth Services has been assigned the NPI (National Provider Identifier) Number 1508875667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Pine Rest Christian Mental Heatth Services is physically located?
The Pine Rest Christian Mental Heatth Services is situated at the following address: 310 Lafayette Ave Se, Grand Rapids, MI 495034693.
What is Pine Rest Christian Mental Heatth Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pine Rest Christian Mental Heatth Services is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
When did the Pine Rest Christian Mental Heatth Services receive its 1508875667?
The Pine Rest Christian Mental Heatth Services was issued its 1508875667 on 2006-08-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pine Rest Christian Mental Heatth Services most recently updated?
The details pertaining to the Pine Rest Christian Mental Heatth Services, including its address, specialty, and other relevant information, were last refreshed on 2020-11-04.