Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Rest Christian Mental Health Services

Organization Psychologist · NPI 1780695411

Pine Rest Christian Mental Health Services is a Psychologist in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1780695411
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPine Rest Christian Mental Health Services
Authorized official Diane Fennema — Managed Care Administrator · (616) 281-6372
NPI enumeratedAugust 10, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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