Healthcare Provider Details

I. General information

NPI: 1801777024
Provider Name (Legal Business Name): SILVER BIRCH PSYCHIATRY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LEONARD ST NE
GRAND RAPIDS MI
49505-5515
US

IV. Provider business mailing address

1400 LEONARD ST NE
GRAND RAPIDS MI
49505-5515
US

V. Phone/Fax

Practice location:
  • Phone: 616-217-4435
  • Fax: 616-244-2456
Mailing address:
  • Phone: 616-217-4435
  • Fax: 616-244-2456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW J RIEGEL
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 616-682-6260