Pine Rest Christian Mental Health Services
NPI 1487665428ActiveOrganization· Pediatrics· Grand Rapids, MI
Pediatrics in Grand Rapids, Michigan, registered in NPPES in August 2006, part of Pine Rest Christian Mental Health Serices. The authorized official on file is Diane Fennema, Managed Care Administrator.
Overview
| NPI | 1487665428 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pine Rest Christian Mental Health Serices |
| NPI issued | Aug 11, 2006 |
| Last updated in NPPES | Nov 4, 2020 |
| Certified by provider | Nov 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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