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Pine Rest Christian Mental Health Services

Psychiatry Physician in Pella, IA · enumerated 2006 · authorized official Diane Fennema, Managed Care Administrator.

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

National Provider Identifier

1326117805

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Rest Christian Mental Health Services
Practice address 2611 Washington Street, Pella, IA, 50219
Fax (641) 621-1493
Enumeration date Nov 7, 2006
Last updated in NPPES Nov 4, 2020

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Diane Fennema
Title Managed Care Administrator

Other identifiers

Identifier Type State Issuer
0295840 Medicaid IA -

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

What type of organization is Pine Rest Christian Mental Health Services?
Pine Rest Christian Mental Health Services is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-04.