Pine Rest Christian Mental Health Services
NPI 1780695411 · Psychologist · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Rest Christian Mental Health Services is a Psychologist organization in Grand Rapids, MI (NPI 1780695411).
Provider details
- NPI number
- 1780695411
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Pine Rest Christian Mental Health Services
- Organization subpart
- Yes
- Authorized official
- Diane Fennema, Managed Care Administrator(616) 281-6372
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
- 2006-08-10
- 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 1780695411, 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 Psychologist (Behavioral Health & Social Service Providers).
- Where is Pine Rest Christian Mental Health Services located?
- Pine Rest Christian Mental Health Services's practice location on file with NPPES is 300 68th St Se, Grand Rapids, MI 49548-6927.
- 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) 455-5000.
- Does Pine Rest Christian Mental Health Services accept Medicare?
- Pine Rest Christian Mental Health Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1780695411) 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.