Active NPI
Zachary David Loy, DO
- Psychiatry Physician
- Grand Rapids, MI
National Provider Identifier
1912437245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5101026629
- Practice address
- 300 68TH Street SE
Pine Rest Christian Mental Health Services
Grand Rapids, MI 49548 - Phone
- (616) 456-0842
- Fax
- (616) 559-5864
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5151013371 | MI | |
| Psychiatry Physician | 2084P0800X | 5101026629 | MI | Primary |
| Psychiatry Physician | 2084P0800X | 5101023378 | MI |
Addresses
Primary practice location
300 68TH Street SE
Pine Rest Christian Mental Health Services
Grand Rapids, MI 49548
Mailing address
300 68TH Street SE
Pine Rest Christian Mental Health Services
Grand Rapids, MI 49548
Phone (616) 456-0842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013371 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychiatry | Current | Accepting new patients |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychiatry | Past | Accepting new patients |
Locations
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1700894623
-
- Psychiatric Hospital
- Grand Rapids, MI
- NPI 1982672762
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1912437245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 68TH STREET SE",
"address_2": "PINE REST CHRISTIAN MENTAL HEALTH SERVICES",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49548",
"telephone_number": "616-456-0842",
"fax_number": "616-559-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 68TH STREET SE",
"address_2": "PINE REST CHRISTIAN MENTAL HEALTH SERVICES",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49548",
"telephone_number": "616-456-0842",
"fax_number": "616-559-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOY",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5151013371",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101026629",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101023378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.