Pine Rest Christian Mental Health Services in Grand Haven - Psychiatry
Pine Rest Christian Mental Health Services - NPI 1063421022
Pine Rest Christian Mental Health Services is a Psychiatry in Grand Haven, 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 1063421022. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 1445 Sheldon Rd, Grand Haven, Michigan. You can contact this provider via phone number 6168475145. The mailing address for Pine Rest Christian Mental Health Services is 1445 Sheldon Rd, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pine Rest Christian Mental Health Services |
|---|---|
| Address | 1445 Sheldon Rd, Grand Haven, Michigan |
| Phone Number | 6168475145 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF GENE |
|---|---|
| Authorized Official Name | Fennema Diane |
| Telephone Number | 6162816372 |
NPI Number Detail
| NPI Number | 1063421022 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
| Address | 1445 Sheldon Rd |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494172480 |
| Phone Number | 6168475145 |
| 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 |
|---|---|---|---|
| 500D11133 | MA | NURSE PRACTICTIONER | |
| 680D16189 | MI | PSYCHOLOGISTS | |
| 800D16222 | MA | SOCITAL WORKERS | |
| 260D17625 | MA | PSYCHIATRISTS | |
| P10D11275 | MI | PSYCHOLOGISTS |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1063421022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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: 1445 Sheldon Rd, Grand Haven, MI, 494172480.
What is Pine Rest Christian Mental Health Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pine Rest Christian Mental Health Services's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date was the 1063421022 assigned to Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services was issued its 1063421022 on 2006-08-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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.
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