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 Behavior Analyst · NPI 1922019157

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

In the registry since
2006
Specialties on file
2

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

Social Worker (primary) Taxonomy 104100000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1922019157
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 11, 2006
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address300 68th St Se, Grand Rapids, MI 49548-6927

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