PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1245372150
Psychologist in Grand Rapids, MI

NPI Status: Active since February 14, 2007

Contact Information

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000

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  • Organization
  • Psychologist

About PINE REST CHRISTIAN MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Pine Rest Christian Mental Health Services, a provider established in Grand Rapids, Michigan operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1245372150 assigned on February 2007. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pine Rest Christian Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Diane Fennema (Managed Care Administrator)

NPI
1245372150
Provider Name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Location Phone
(616) 455-5000
Mailing Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Mailing Phone
(616) 455-5000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
11-04-2020
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A psychologist like Pine Rest Christian Mental Health Services studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of 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; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 
3104100000XBehavioral Health & Social Service Providers

Social Worker

 
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
7363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
8363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE FENNEMA

Authorized Official Title
MANAGED CARE ADMINISTRATOR
Authorized Official Phone
(616) 281-6372

Reviews for PINE REST CHRISTIAN MENTAL HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245372150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285674110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 7 + 4 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245372150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920550EMERGENCY PHYSICIANS INC PC
Organization
General Practice300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1235180720 JAIME AYALA M.D.
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5270
1093761827 WILLIAM H BEUTE M.D.
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5270
1174579767 ALAN M ARMSTRONG M.D.
Individual
General Practice300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1639125040 CARLOS A MARCANO MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1598712184 GARY A BURKHART PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1841237765 RICHARD BAEZ PSY.D., LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1043250368 DANIEL MARK SCHELLENBERG MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1659311801 MELINDA JUNE WALDROP MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 281-6372
1285674507 GARY L RICH MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1669413969DR. KIMBERLY JOY CURYTO PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1053352807 CONSTANCE LOUISE DEVANTIER PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1033153010 THOMAS J ELZINGA MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1265476220 MARK E DEVRIES PH.D.
Individual
Clinical Neuropsychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1124062146 JUDITH ANN DREW MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1689610487 KATHY MAY PALKA MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1295771640 THOMAS WILLIAM GRAHAM MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1992733653 THOMAS SCOTT HALSTEAD PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1508881806 BARBARA E GRITTER LMSW, ACSW
Individual
Social Worker (Clinical)300 68TH ST SE SUITE B
GRAND RAPIDS, MI 49548
(616) 281-6345
1568477842 BRUCE KEVIN RETTERATH PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245372150, enumerated in the NPI registry as an "organization" on February 14, 2007

The provider is located at 300 68th St Se Grand Rapids, Mi 49548 and the phone number is (616) 455-5000

This medical organization specializes in Psychologist with taxonomy code 103T00000X

This NPI record was last updated on February 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.