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General NPI Number Information
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NPI Number | 1801777024
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Entity Type | Organization
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Legal Business Name | SILVER BIRCH PSYCHIATRY SERVICES PLLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1400 LEONARD ST NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-5515
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Country | US
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Telephone | 616-217-4435
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Fax | 616-244-2456
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Provider Business Mailing Address
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Address Line | 1400 LEONARD ST NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-5515
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Country | US
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Telephone | 616-217-4435
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Fax | 616-244-2456
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANDREW J RIEGEL
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Credential | DO
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Telephone | 616-682-6260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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