1487837506 PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Pediatrics Physician
Active
Basic Information
- Organization Name
- PINE REST CHRISTIAN MENTAL HEALTH SERVICES
- Enumeration Date
- December 12, 2007
- Last Update
- November 4, 2020
- Authorized Official
- DIANE FENNEMA
MANAGED CARE ADMINISTATOR
Phone: (616) 281-6372
Practice Location
- Address
- 300 68TH ST SE
GRAND RAPIDS, MI 495486927 - Phone
- (616) 455-5000
Mailing Address
- Address
- 300 68TH ST SE
GRAND RAPIDS, MI 495486927 - Phone
- (616) 455-5000
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Addiction Medicine | 2084A0401X | Psychiatry & Neurology | N/A | N/A | No |
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | N/A | N/A | No |
| Psychiatric Hospital | 283Q00000X | Psychiatric Hospital | N/A | N/A | No |
| Psychologist | 103T00000X | Psychologist | N/A | N/A | No |
| Social Worker | 104100000X | Social Worker | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Addiction Medicine (Internal Medicine) Physician Addiction Medicine | 207RA0401X | Internal Medicine | N/A | N/A | No |
| Physician Assistant | 363A00000X | Physician Assistant | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OD16083 | 01 | MI | BC/BS PSYCHIATRY-MULTI SP |
| OD16222 | 01 | MI | BC/BS SOCIAL WORKER |
| OD14837 | 01 | MI | BC/BS GNERAL MEDICINE |
| OD17625 | 01 | MI | BC/BS PSYCHIATRY |
| OD16189 | 01 | MI | BC/BS PSYCHOLOGIST |
| OD11275 | 01 | MI | BC/BS MA, LLP, DOCTORAL |
| OD11133 | 01 | MI | BC/BS NURSE PRACTIONER |
| OD14836 | 01 | MI | BC/BS PEDIATRICS |
Frequently Asked Questions
What is PINE REST CHRISTIAN MENTAL HEALTH SERVICES's NPI number?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES's NPI number is 1487837506.
Which doctor has NPI number 1487837506?
The doctor with NPI number 1487837506 is PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
What is PINE REST CHRISTIAN MENTAL HEALTH SERVICES's practice address?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES's practice address is 300 68TH ST SE, GRAND RAPIDS, MI, 495486927.
Which doctor practices at 300 68TH ST SE, GRAND RAPIDS, MI, 495486927?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES practices at 300 68TH ST SE, GRAND RAPIDS, MI, 495486927.
What is PINE REST CHRISTIAN MENTAL HEALTH SERVICES's phone number?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES's phone number is (616) 455-5000.
Who is (616) 455-5000?
(616) 455-5000 is the phone number for PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
What is PINE REST CHRISTIAN MENTAL HEALTH SERVICES's specialty?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES's specialty is Pediatrics Physician.
What type of doctor is PINE REST CHRISTIAN MENTAL HEALTH SERVICES?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a Pediatrics Physician.
Is PINE REST CHRISTIAN MENTAL HEALTH SERVICES a Pediatrics?
Yes, PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a Pediatrics.
Is PINE REST CHRISTIAN MENTAL HEALTH SERVICES still practicing?
Yes, PINE REST CHRISTIAN MENTAL HEALTH SERVICES is currently practicing.
Is PINE REST CHRISTIAN MENTAL HEALTH SERVICES accepting new patients?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES may be accepting new patients. Please call their office at (616) 455-5000 to inquire about availability.
Is NPI 1487837506 still active?
Yes, NPI 1487837506 is currently active.
Where does PINE REST CHRISTIAN MENTAL HEALTH SERVICES practice?
PINE REST CHRISTIAN MENTAL HEALTH SERVICES practices in GRAND RAPIDS, MI.