Pine Rest Christian Mental Heatth Services
Psychology Clinic
310 Lafayette Ave Se, Grand Rapids
Michigan, 49503-4693
616-913-1400 Maps & DirectionsPine Rest Christian Mental Heatth Services is a Psychology Clinic in Grand Rapids, Michigan. This organization is also known as sub part of Pine Rest Christian Mental Health Services. It is located at 310 Lafayette Ave Se, Grand Rapids, MI and its contact number is 616-913-1400. The authorized person for Pine Rest Christian Mental Heatth Services is Diane Fennema
who is Managed Care Administrator of the clinic and his/her contact number is 616-281-6372.
Pine Rest Christian Mental Heatth Services Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Pine Rest Christian Mental Heatth Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pine Rest Christian Mental Heatth Services |
| Specialization: | General Psychology |
| Clinic Address: | 310 Lafayette Ave Se, Grand Rapids,
Michigan, 49503-4693 |
| Phone: | 616-913-1400 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Diane Fennema |
| Position: | Managed Care Administrator |
| Contact Number: | 616-281-6372 |
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 for Pine Rest Christian Mental Heatth Services clinic are as mentioned below.
| NPI Number: | 1508875667 |
| Parent Organization: | Pine Rest Christian Mental Health Services |
| NPI Enumeration Date: | 07 Aug, 2006 |
| NPI Last Update On: | 04 Nov, 2020 |
Medical Licenses:
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 Heatth Services are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
| Psychologist | | | Secondary | |
| Social Worker | | | Secondary | |
| Physician Assistant | | | Secondary | |
| Nurse Practitioner | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500D11133 | Other | Michigan | Nurse Pract. |
| 800D16222 | Other | Michigan | Social Workers |
| 260D17625 | Other | Michigan | Psychiatrists |
| P10D11275 | Other | Michigan | Psycholgogists-ma, Doctor |
| 680D16189 | Other | Michigan | Psychologists |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pine Rest Christian Mental Heatth Services
300 68th St Se,
Grand Rapids, Michigan |
| Zip: | 49548-6927 |
| Phone Number: | 616-455-5000 |
Patients can reach Pine Rest Christian Mental Heatth Services at
310 Lafayette Ave Se, Grand Rapids, Michigan or can
call to book an appointment on 616-913-1400.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.