Whalio Doctors

NPI 1235895897

Pine Rest Christian Mental Health Services

Organisation Psychiatric Hospital Grand Rapids, MI

Practice location

Address
320 Commerce Ave SW, Grand Rapids, MI 49503-4101
Phone
(616) 258-7599
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 (11)

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Addiction Medicine (Psychiatry & Neurology) Physician
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Registry record

NPI
1235895897
Entity type
Organization
NPI issued
9 Nov 2021
Record last updated
11 Mar 2022

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.