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Pine Rest Christian Mental Health Services

Psychiatric Hospital in Grand Rapids, MI · enumerated 2021 · authorized official Diane Fennema, Managed Care Administrator.

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

National Provider Identifier

1235895897

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Other name <Unavail>
Practice address 320 Commerce Ave Sw, Grand Rapids, MI, 49503
Enumeration date Nov 9, 2021
Last updated in NPPES Mar 11, 2022

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
283Q00000X Psychiatric Hospital Hospitals Primary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Fennema
Title Managed Care Administrator

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

Who is the authorized official for Pine Rest Christian Mental Health Services?
NPPES lists Diane Fennema (Managed Care Administrator) as the authorized official for this organization.
What is the NPI number for Pine Rest Christian Mental Health Services?
The NPI for Pine Rest Christian Mental Health Services is 1235895897, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-11.