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

Dr. Mon C Poulose, MD

Individual provider Psychiatric Hospital · NPI 1982835526

Dr. Mon C Poulose, MD is a Psychiatry in Grand Rapids, Michigan. Qualified in 2001, 25 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3225 N Evergreen Dr NE Ste 301
Grand Rapids, MI 49525
Phone: (716) 348-7834
Fax: (616) 364-6400
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301099983 (MI)
Psychiatric Hospital Taxonomy 283Q00000X (MI)

Record details

NPI number1982835526
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 30, 2009
Last updated in NPPESJanuary 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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