Pine Rest Christian Mental Health Services

Psychiatry · Grandville, MI

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At a glance

4211 Parkway Place Dr Sw Ste 100, Grandville, MI 49418-2695

NPPES record updated Jun 18, 2026. Public records can lag behind changes at a practice.

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Practice location

4211 Parkway Place Dr Sw Ste 100
Grandville, MI 49418-2695
Professional details: NPI, taxonomy & registry record
NPI1275544413
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Registry details

Primary taxonomy
Psychiatry
Taxonomy code
2084P0800X
Enumeration date
Aug 11, 2006
Record updated
Jun 18, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X

Specialty details in registry

103K00000X

Psychologist

103T00000X

Specialty details in registry

104100000X

Psychiatry

2084P0800X · Primary

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

Physician Assistant

363A00000X

Nurse Practitioner

363L00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4211 Parkway Place Dr Sw Ste 100
Grandville, MI 49418-2695
Phone
(616) 222-3700
Fax
(616) 222-3707
Mailing address
300 68TH ST SE

GRAND RAPIDS, MI 495486927
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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