Sides Psychological Consulting, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SIDES PSYCHOLOGICAL CONSULTING, LLC

Practice address

9272 Shoreway Dr
West Olive, MI 49460-8866

Phone

(616) 886-9001

NPI assigned

Mar 29, 2025

Last updated

Mar 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin David Sides, PSYDNPI 1104276690

Title

Owner

Phone

(616) 886-9001

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Sides, PSYD

  • Psychologist
  • West Olive, MI
  • NPI 1104276690
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743206400000",
    "number": "1043013667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 SHOREWAY DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608866",
            "telephone_number": "616-886-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9272 SHOREWAY DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494608866",
            "telephone_number": "616-886-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDES PSYCHOLOGICAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "SIDES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-886-9001",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Roossien, FNP-BC
• Lindsey Ann Roossien, PA-C
• Mercedes B Saurbaugh, LMSW
• Patrick Schaafsma, LMSW
• Brandi Rose Sickmund, LMSW
• Justin Sides, PSYD
• Thomas Anson Smith, M.D.
• Stanton Crossings Physical Therapy LLC
• Matthew Tornga, D.O.
• Victor Vermeulen, MD

• Psychologist in West Olive, MI
• Providers in West Olive, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.