PINE REST CHRISTIAN MENTAL HEALTH SERVICES (NPI# 1285645424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285645424 |
| Entity Type | Organization |
| Organization Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Practice Address |
926 Washington Ave Holland MI 49423-7725 |
| Mailing Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Practice Telephone | 6168203780 |
| Mailing Telephone | 6164555000 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DIANE FENNEMA (MANAGED CARE ADMINISRATOR) |
| Authorized Official Telephone | 6162816372 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NURSE PRACTICTIONER | 500D11133 | 01 |
| MI | PSYCHOLOGISTS | 680D16189 | 01 |
| MI | PSYCHIATRISTS | 260D17625 | 01 |
| MA | SOCIAL WORKER | 800D16222 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154339521 | Pine Rest Christian Mental Health Services | Psychologist | 550 - 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-08-03 |
| 1841791357 | Pine Rest Christian Mental Health Services | Substance Abuse Rehabilitation Facility | 300 68th Street Se, Grand Rapids, MI 49548 | 2018-02-21 |
| 1952818551 | Pine Rest Christian Mental Health Services | Substance Abuse Rehabilitation Facility | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2018-01-04 |
| 1619341310 | Pine Rest Christian Mental Health Services | Counselor | 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 | 2015-11-18 |
| 1598138810 | Pine Rest Christian Mental Health Services | Counselor | 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 | 2015-11-09 |
| 1386015683 | Pine Rest Christian Mental Health Services | Counselor | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2015-10-13 |
| 1467840553 | Pine Rest Christian Mental Health Services | Nurse Practitioner | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2014-12-26 |
| 1821414566 | Pine Rest Christian Mental Health Services | Counselor | 1350 W Centre Ave, Portage, MI 49024-5361 | 2014-03-05 |
| 1467873414 | Pine Rest Christian Mental Health Services | Speech-Language Pathologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2013-12-18 |
| 1427216241 | Pine Rest Christian Mental Health Services | Counselor | 4294 Laurel Dr, Lake Odessa, MI 48849-9423 | 2008-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Iowa Business Entities | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | 300 68th St Se, Grand Rapids, MI 49548 |
| Street Address |
926 WASHINGTON AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640268 | Stephen Reid Thomas | Psychologist | 926 Washington Ave, Holland, MI 49423-7725 | 2006-07-31 |
| 1518524735 | Tonya Sue Mckerchie | Counselor | 926 Washington Ave, Holland, MI 49423-7725 | 2019-05-22 |
| 1639560899 | Ashley Nicole Martinie | Social Worker | 926 Washington Ave, Holland, MI 49423-7725 | 2015-02-10 |
| 1366729576 | Carrita Loree Plaskewicz | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-16 |
| 1962789560 | Jacquelyn Sue Kiefer | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-10 |
| 1609153485 | Jaclynn Lea Lubbers | Nurse Practitioner | 926 Washington Ave, Holland, MI 49423-7725 | 2011-11-08 |
| 1629356175 | Ria Anastasia Nieboer | Counselor | 926 Washington Ave, Suite 210, Holland, MI 49423-7725 | 2011-08-02 |
| 1639486038 | Naomi Betancourt | Social Worker | 926 Washington Ave, Holland, MI 49423-7725 | 2010-09-07 |
| 1972819134 | D L Stageman Md Plc | Otolaryngology | 926 Washington Ave, Bld D Ste 230, Holland, MI 49423-7725 | 2010-08-26 |
| 1760613046 | Julie Ann Arellano | Psychiatry & Neurology | 926 Washington Ave, Holland, MI 49423-7725 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528385788 | Sreekanth V Indurti Md Inc | Psychiatry & Neurology | 218 Forest Glen Dr, Holland, OH 43528-8195 | 2010-04-28 |
| 1215116397 | Virginia Truitt Sherr | Psychiatry & Neurology | 47 Crescent Dr, Holland, PA 18966-2105 | 2007-10-25 |
| 1295743094 | Nicholas A Abid | Psychiatry & Neurology | 1194 Beach Dr, Holland, MI 49423-4486 | 2006-08-04 |
| 1235109372 | Thomas Willliam Kuhn | Psychiatry & Neurology | 854 S Washington Ave, Suite 330, Holland, MI 49423-7144 | 2006-01-23 |
| 1578833695 | John R. Beyer, D. O., Pllc | Psychiatry & Neurology | 44 E 8th St, Suite 200, Holland, MI 49423-3575 | 2012-01-05 |
| 1255625273 | Emily Todd | Psychiatry & Neurology | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2011-06-07 |
| 1760613046 | Julie Ann Arellano | Psychiatry & Neurology | 926 Washington Ave, Holland, MI 49423-7725 | 2009-08-04 |
| 1760655195 | Lucien Tamer | Psychiatry & Neurology | 854 Washington Ave, Suite 330, Holland, MI 49423-7144 | 2008-04-07 |
| 1154541118 | Jane Broering Ammons | Psychiatry & Neurology | 7429 International Dr, #2, Holland, OH 43528 | 2007-05-01 |
| 1477693505 | James R Dumerauf | Psychiatry & Neurology | 602 Michigan Ave, Holland, MI 49423-4918 | 2007-02-07 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.