JUSTIN SIDES PSYD
NPI 1104276690
Psychologist in West Olive, MI
About Justin Sides Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN SIDES PSYD (NPI 1104276690) is an individual psychologist in West Olive, Michigan, licensed in Michigan (6301017242) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justin Sides Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justin Sides reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Sides's NPI number?
The NPI number for Justin Sides is 1104276690. It was assigned to this individual provider in the NPPES registry on June 15, 2016.
Where is Justin Sides located?
Justin Sides practices at 9272 Shoreway Dr, West Olive, MI 49460. The listed phone number is (616) 886-9001.
What is Justin Sides's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Justin Sides enrolled in Medicare?
Yes. Justin Sides is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justin Sides's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sides reassigns Medicare benefits to Hope & Wholeness Psychology Center, LLC (Holland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Sides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Sides accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Justin Sides as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Sides was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.