Whalio Doctors

NPI 1124171954

Pine Rest Christian Mental Health Services

Organisation Psychiatric Hospital Traverse City, MI

Practice location

Address
700 E Hammond Rd STE 200, Traverse City, MI 49686-8641
Phone
(231) 947-2255
Fax
(231) 947-5982
Mailing address
300 68th St SE, Grand Rapids, MI 49548-6927

Authorised official

Name
Diane M Fennema
Title
Managed Care Administrator
Phone
(616) 281-6372

Registered specialties (13)

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X
School Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041S0200X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1124171954
Entity type
Organization
NPI issued
18 Jan 2007
Record last updated
18 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.