Pine Rest Christian Mental Health Services in Grand Rapids - Psychiatry
Pine Rest Christian Mental Health Services - NPI 1033129101
Pine Rest Christian Mental Health Services is a Psychiatry in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Pine Rest Christian Mental Health Services is 1033129101. 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 | 1033129101 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| 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 | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700D16083 | MI | BC/BS MULTISPECIALITY |
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) 1033129101. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is Pine Rest Christian Mental Health Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pine Rest Christian Mental Health Services's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033129101 to Pine Rest Christian Mental Health Services?
The Centers for Medicare & Medicaid Services assigned the 1033129101 to Pine Rest Christian Mental Health Services on 2006-08-09.
As of what date were the details related to Pine Rest Christian Mental Health Services most recently updated or revised?
The information pertaining to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-04.