Pine Rest Christian Mental Health Services

Organization Active
NPI 1679777049
Addiction Medicine (Internal Medicine) Physician Grand Rapids, MI

NPI 1679777049 belongs to Pine Rest Christian Mental Health Services, an addiction medicine (internal medicine) physician with a practice location in Grand Rapids, MI. The NPI was issued on June 12, 2007, and the record was last updated in NPPES on June 18, 2026. The record lists 13 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401X Not listed
Addiction (Substance Use Disorder) Counselor 101YA0400X Not listed
Mental Health Counselor 101YM0800X Not listed
Professional Counselor 101YP2500X Not listed
Behavior Analyst 103K00000X Not listed
Psychologist 103T00000X Not listed
Social Worker 104100000X Not listed
Internal Medicine Physician 207R00000X Not listed
Occupational Therapist 225X00000X Not listed
Speech-Language Pathologist 235Z00000X Not listed
Substance Abuse Rehabilitation Facility 324500000X 410334 (MI)
Physician Assistant 363A00000X Not listed
Nurse Practitioner 363L00000X Not listed

Practice location

243 68th St SE
Grand Rapids, MI 49548-6924
Phone: (616) 281-6836

Local context

Active NPPES records list 10 providers with addiction medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 9 of them within 10 miles.

The same primary taxonomy is listed by 45 in Michigan and 1,060 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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