Justin Sides, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301017242 Issued in MI

Practice address

9272 Shoreway Dr
West Olive, MI 49460-8866

Phone

(616) 886-9001

NPI assigned

Jun 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sides Psychological Consulting, LLC

  • Psychologist
  • West Olive, MI
  • NPI 1043013667
  NPD Authorized official
• Hope & Wholeness Psychology Center, LLC

  • Clinical Psychologist
  • Holland, MI
  • NPI 1841726809
  Medicare reassignment

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1104276690",
    "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": {
        "last_name": "SIDES",
        "first_name": "JUSTIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Roossien, PA-C
• Mercedes B Saurbaugh, LMSW
• Patrick Schaafsma, LMSW
• Brandi Rose Sickmund, LLMSW
• Sides Psychological Consulting, LLC
• Thomas Anson Smith, M.D.
• Stanton Crossings Physical Therapy LLC
• Matthew Tornga, D.O.
• Victor Vermeulen, MD
• Angie R Young, 7501001553

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.