Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Westside Neuropsychology, PLLC

Organization Clinical Neuropsychologist · NPI 1417848763

Westside Neuropsychology, PLLC is a Clinical Neuropsychologist in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5030 Corporate Exchange Blvd SE Ste 201
Grand Rapids, MI 49512-5506
Phone: (616) 287-4164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1417848763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Velisa Johnson — Clinical Neuropsychologist/Owner · (616) 287-4164
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address5030 Corporate Exchange Blvd Se Ste 201, Grand Rapids, MI 49512-5506

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