Pine Rest Christian Mental Health Services
Pediatrics
Pine Rest Christian Mental Health Services is a Grand Rapids, Michigan based Pediatric center with medical specialization in
General Pediatrics.
It is located at
300 68th St Se, Grand Rapids, Michigan - 49548-6927. They can be contacted on phone at
616-455-5000.
NPI number (Unique professional ID) for Pine Rest Christian Mental Health Services is
1487837506 which was assigned by NPPES on 12 Dec, 2007 and it was last updated on 04 Nov, 2020.
Pine Rest Christian Mental Health Services is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pine Rest Christian Mental Health Services basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pine Rest Christian Mental Health Services |
|---|
Business Address:
Pine Rest Christian Mental Health Services address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 68th St Se
Grand Rapids, MI, 49548-6927
United States |
|---|
| Phone Number : | 616-455-5000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487837506 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 12 Dec, 2007 |
|---|
| Last Updated On : | 04 Nov, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Diane Fennema |
|---|
| Official Title or Position : | MANAGED CARE ADMINISTATOR |
|---|
| Phone Number : | 616-281-6372 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pine Rest Christian Mental Health Services are as mentioned. Primary taxonomy code for Pine Rest Christian Mental Health Services is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2084A0401X | Psychiatry & Neurology Addiction Medicine | No | | |
| 2084P0800X | Psychiatry & Neurology Psychiatry | No | | |
| 283Q00000X | Psychiatric Hospital | No | | |
| 103T00000X | Psychologist | No | | |
| 104100000X | Social Worker | No | | |
| 207R00000X | Internal Medicine | No | | |
| 207RA0401X | Internal Medicine Addiction Medicine | No | | |
| 208000000X | Pediatrics | Yes | | |
| 363L00000X | Nurse Practitioner | No | | |
| 363A00000X | Physician Assistant | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Pine Rest Christian Mental Health Services such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| OD14837 | Other | MI | BC/BS GNERAL MEDICINE |
| OD16083 | Other | MI | BC/BS PSYCHIATRY-MULTI SP |
| OD16222 | Other | MI | BC/BS SOCIAL WORKER |
| OD11133 | Other | MI | BC/BS NURSE PRACTIONER |
| OD17625 | Other | MI | BC/BS PSYCHIATRY |
| OD16189 | Other | MI | BC/BS PSYCHOLOGIST |
| OD14836 | Other | MI | BC/BS PEDIATRICS |
| OD11275 | Other | MI | BC/BS MA, LLP, DOCTORAL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 68th St Se
Grand Rapids, MI, 49548-6927
United States |
|---|
| Phone Number : | 616-455-5000 |
|---|
Business Location:
Patients can refer following map for directions to
Pine Rest Christian Mental Health Services practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.