Weston Mark Anderson, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5151012040 Issued in MI

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 15, 2017

Sex

Male

Sole proprietor

No

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.

• Pine Rest Christian Mental Health Services

  • General Practice Physician
  • Grand Rapids, MI
  • NPI 1851309884

  MI

  Medicare reassignment Care Compare group NPD
• Pine Rest Christian Mental Health Services

  • Psychiatric Hospital
  • Grand Rapids, MI
  • NPI 1982672762

  Psychiatry

  Care Compare group NPD (past)
• Pine Rest Christian Mental Health Services

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1467463604
  Care Compare group
• Pine Rest Christian Mental Health Services

  • Psychologist
  • Grand Rapids, MI
  • NPI 1780695411
  Care Compare group
• Pine Rest Christian Mental Health Services

  • Social Worker
  • Grand Rapids, MI
  • NPI 1922019157
  Care Compare group
• Pine Rest Christian Mental Health Services

  • Psychiatry Physician
  • Pella, IA
  • NPI 1326117805
  Care Compare group
• Mercy Health Partners

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
  • NPI 1154910172
  NPD
• Mercy Health Partners

  • Adult Mental Health Clinic/Center
  • Muskegon, MI
  • NPI 1194767186
  NPD
• Pine Rest Christian Mental Health Services

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1386015683
  NPD
• Pine Rest Christian Mental Health Services

  • Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1700894623

  Psychiatry

  NPD

Specialty

Psychiatry

Education

Pacific NW Un of HS, Col of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Rest Christian Mental Health Services 354 clinicians

Practice addresses (Care Compare)

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wanderson42715@direct.trinity-health.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982134623",
    "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": "ANDERSON",
        "first_name": "WESTON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5151012040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R Anderson, OTR
• Stephanie Anderson, DPT
• Tess Elizabeth Anderson
• Theodore Mann Anderson, PA-C
• Trechaun Anjale Anderson
• Lisa Anne Andersson-Zetye, MD
• Morgan Jean Anding Gomes
• Andola C Mathis MD PC
• Maribel Andrade
• Andrea Beck-Lundskow LLC

• All providers in Grand Rapids, MI
• Psychiatry Physician in Michigan

• 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.

Verify at the official NPI Registry.