Pine Rest Christian Mental Health Services
NPI 1154339521ActiveOrganization· Psychiatry & Neurology, Psychiatry· Grand Rapids, MI
Psychiatry & Neurology, Psychiatry in Grand Rapids, Michigan, registered in NPPES in August 2006, part of Pine Rest Christian Mental Health Services. The authorized official on file is Diane M. Fennema, Managed Care Administrator.
Overview
| NPI | 1154339521 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pine Rest Christian Mental Health Services |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Jun 18, 2026 |
| Certified by provider | Jun 18, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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