Westside Neuropsychology, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

WESTSIDE NEUROPSYCHOLOGY, PLLC

Practice address

5030 Corporate Exchange Blvd SE Ste 201
Grand Rapids, MI 49512-5506

Phone

(616) 287-4164

NPI assigned

Jul 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Velisa Johnson, PHD, ABPP-CNNPI 1184892952

Title

Clinical Neuropsychologist/Owner

Phone

(616) 287-4164

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.

• Velisa Marie Johnson, PHD, ABPP-CN

  • Clinical Neuropsychologist
  • Grand Rapids, MI
  • NPI 1184892952
  NPD Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1417848763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CORPORATE EXCHANGE BLVD SE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125506",
            "telephone_number": "616-287-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CORPORATE EXCHANGE BLVD SE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125506",
            "telephone_number": "616-287-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE NEUROPSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VELISA",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "616-287-4164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPP-CN"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Westrate, LPC
• Kate Allison Westrate, CNP
• Nicole Christine Westrick
• Westside Chiropractic LLC
• Westside Dental PC
• Westside Vision, LLC
• Miriam K Westveer
• Zora Balbina Westwalewicz, PA
• Anne Wetherbee
• Kristin Wetzel

• Clinical Neuropsychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.