PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1063421022

NPI Information

  • NPI: 1063421022
  • Provider Name: PINE REST CHRISTIAN MENTAL HEALTH SERVICES
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1445 SHELDON RD
    HARBOR DUNES HEALTH CENTER
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 847-5145

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NPI Details

PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a psychiatry psychiatry neurology in Grand Haven, MI. The provider is 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 disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1063421022. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1445 SHELDON RD
HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI
ZIP 49417-480
Phone: (616) 847-5145

The provider's authorized official is Diane Fennema .
The authorized official title is Vp Of General Services and has the following contact phone number (616) 281-6372.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 11/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2104100000XSocial WorkerNo
32084P0800XPsychiatry & NeurologyPsychiatryYes
4363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500D11133OTHERMASSACHUSETTSNURSE PRACTICTIONER
2260D17625OTHERMASSACHUSETTSPSYCHIATRISTS
3680D16189OTHERMICHIGANPSYCHOLOGISTS
4800D16222OTHERMASSACHUSETTSSOCITAL WORKERS
5P10D11275OTHERMICHIGANPSYCHOLOGISTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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