Organization · Type 2 NPI
Pine Rest Christian Mental Health Services
Psychiatric Hospital · Portage, MI
NPI number
1821414566
Active
Practice location
1350 W Centre Ave Ste 100
Portage, MI 49024-5361
Fax (269) 910-7328
Mailing address
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Behavior Analyst | 103K00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Social Worker | 104100000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Occupational Therapist | 225X00000X | None listed |
| Speech-Language Pathologist | 235Z00000X | None listed |
| Psychiatric Hospital Primary | 283Q00000X | 1080000018 (MI) |
| Substance Abuse Rehabilitation Facility | 324500000X | SA0390191 (MI) |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
About NPI 1821414566
Pine Rest Christian Mental Health Services's National Provider Identifier is 1821414566, issued on Mar 5, 2014. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Portage, MI. The record was last updated on Jun 18, 2026.