Pine River Psychological Services Pllc
Pine River Psychological Services Pllc is a healthcare organization registered as Clinical Psychologist in Charlevoix, MI, holding Type 2 (organization) NPI 1992660005 since 2025. The authorized official on file is Michael Di Martino, Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1992660005 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine River Psychological Services Pllc |
| Practice address | 223 BRIDGE ST, Charlevoix, MI, 49720 |
| Phone | 6503873927 |
| Enumeration date | 2025-12-20 |
| Last updated in NPPES | 2026-03-17 |
Authorized official
| Name | Michael Di Martino |
|---|---|
| Title | Managing Member |
| Phone | 6503873927 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | — | — |
Copy-ready billing details
Provider: Pine River Psychological Services Pllc NPI: 1992660005 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 223 BRIDGE ST, Charlevoix, MI, 49720
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316505969 | Michael Di Martino | Individual | Clinical Psychologist | Charlevoix, MI |
Verify this record
Cross-check NPI 1992660005 against the authoritative CMS record: view Pine River Psychological Services Pllc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Pine River Psychological Services Pllc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-17.