MEDICARE: SILVER BIRCH PSYCHIATRY SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1801777024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER BIRCH PSYCHIATRY SERVICES PLLC

Provider Business Mailing Address
First Line	:	1400 LEONARD ST NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-5515
Country	:	US
Telephone Number	:	616-217-4435
Fax Number	:	616-244-2456

Provider Business Practice Location Address
First Line	:	1400 LEONARD ST NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49505-5515
Country	:	US
Telephone Number	:	616-217-4435
Fax Number	:	616-244-2456

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ANDREW J RIEGEL
Credential	:	DO
Telephone Number	:	616-682-6260

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	01/23/2026

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