Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pine Rest Christian Mental Health Services

Psychiatry Physician in Grand Rapids, MI · enumerated 2006 · authorized official Diane Fennema, Managed Care Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154339521

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Registry record

Entity type Organization (Type 2)

Legal business name Pine Rest Christian Mental Health Services

Parent organization Pine Rest Christian Mental Health Services

Practice address 2118 3 Mile Rd Nw, Grand Rapids, MI, 49544

Phone (616) 222-3720

Fax (616) 222-3724

Enumeration date Aug 3, 2006

Last updated in NPPES Jun 18, 2026

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Fennema

Title Managed Care Administrator

Phone (616) 281-6372

Other identifiers

Identifier	Type	State	Issuer
680D16189	Other	MI	PSYCHOLOGISTS
P10D11275	Other	MI	MA, LLP/DOCTORAL
500D11133	Other	MI	NURSE PRACTITIONER
260D17625	Other	MI	PSYCHIATRIST
800D16222	Other	MI	SOCIAL WORKER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-18. Verify at npiregistry.cms.hhs.gov.

Where is Pine Rest Christian Mental Health Services located?

The practice location on file with NPPES is in Grand Rapids, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.