Pine Rest Christian Mental Health Services
NPI 1750399309ActiveOrganization· Psychiatry & Neurology, Psychiatry· Muskegon, MI
Psychiatry & Neurology, Psychiatry in Muskegon, Michigan, registered in NPPES in August 2006, part of Pine Rest Christian Mental Health Services. The authorized official on file is Diane Fennema, Managed Care Administrator.
Overview
| NPI | 1750399309 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pine Rest Christian Mental Health Services |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Nov 4, 2020 |
| Certified by provider | Nov 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Psychologist | 103T00000X | — | — |
| Social Worker | 104100000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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