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

Pine River Psychological Services PLLC

Organization Clinical Psychologist · NPI 1992660005

Pine River Psychological Services PLLC is a Clinical Psychologist in Charlevoix, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

221 Bridge St
Charlevoix, MI 49720-1400
Phone: (650) 387-3927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1992660005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Di Martino — Managing Member · (650) 387-3927
NPI enumeratedDecember 20, 2025
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026
Mailing address4053 Old 31 S, Charlevoix, MI 49720-9691

Other providers in Charlevoix