Pine River Psychological Services PLLC
NPI 1992660005 · Clinical Psychologist · Charlevoix, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine River Psychological Services PLLC is a Clinical Psychologist organization in Charlevoix, MI (NPI 1992660005).
Provider details
- NPI number
- 1992660005
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michael Di Martino, Managing Member(650) 387-3927
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
Under 1 yr in 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
- 2025-12-20
- Last updated
- 2026-03-17
- Certified
- 2026-03-17
Frequently asked questions
- What is Pine River Psychological Services PLLC's NPI number?
- Pine River Psychological Services PLLC's National Provider Identifier (NPI) is 1992660005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine River Psychological Services PLLC?
- Pine River Psychological Services PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Pine River Psychological Services PLLC located?
- Pine River Psychological Services PLLC's practice location on file with NPPES is 223 Bridge St, Charlevoix, MI 49720-1400.
- What is Pine River Psychological Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pine River Psychological Services PLLC is (650) 387-3927.
- Does Pine River Psychological Services PLLC accept Medicare?
- Pine River Psychological Services PLLC 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 River Psychological Services PLLC?
- The authorized official listed on Pine River Psychological Services PLLC's NPPES record is Michael Di Martino, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine River Psychological Services PLLC's NPI active?
- Yes — Pine River Psychological Services PLLC's NPI (1992660005) is active in the NPPES registry as of the last update on 2026-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.