PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1699786335
General Practice in Grand Rapids, MI

NPI Status: Active since August 10, 2006

Contact Information

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

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  • Organization
  • General Practice

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 primary care provider established in Grand Rapids, Michigan operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1699786335 assigned on August 2006. The practitioner's primary taxonomy code is 208D00000X. 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
1699786335
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?
Yes
Enumeration Date
08-10-2006
Last Update Date
11-04-2020
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A primary care provider (PCP) like Pine Rest Christian Mental Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110D148370OTHER (01)MIBC/BS INTERNAL MD

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.
1699786335
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261891481236
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 8 + 1 + 2 + 3 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1699786335 is valid because the calculated check digit 5 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 1699786335, enumerated in the NPI registry as an "organization" on August 10, 2006

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 General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 10, 2006. 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.