Pine Rest Christian Mental Health Services
NPI 1679777049 · Addiction Medicine (Internal Medicine) Physician · Grand Rapids, MI
Pine Rest Christian Mental Health Services is a Addiction Medicine (Internal Medicine) Physician organization in Grand Rapids, MI (NPI 1679777049).
Provider details
- NPI number
- 1679777049
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Pine Rest Christian Mental Health Services
- Organization subpart
- Yes
- Authorized official
- Diane Fennema, Managed Care Administrator(616) 281-6372
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Pine Rest Christian Mental Health Services's NPI number?
- Pine Rest Christian Mental Health Services's National Provider Identifier (NPI) is 1679777049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Rest Christian Mental Health Services?
- Pine Rest Christian Mental Health Services is classified in the NPPES registry as Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Pine Rest Christian Mental Health Services located?
- Pine Rest Christian Mental Health Services's practice location on file with NPPES is 243 68th St Se, Grand Rapids, MI 49548-6924.
- What is Pine Rest Christian Mental Health Services's phone number?
- The practice phone number listed in the NPPES registry for Pine Rest Christian Mental Health Services is (616) 281-6836.
- Who is the authorized official for Pine Rest Christian Mental Health Services?
- The authorized official listed on Pine Rest Christian Mental Health Services's NPPES record is Diane Fennema, Managed Care Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Rest Christian Mental Health Services's NPI active?
- Yes — Pine Rest Christian Mental Health Services's NPI (1679777049) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.