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

Individual provider Clinical Psychologist · NPI 1063067304

Dr. Joshua Matlack, PSYD is a Clinical Psychologist in Grandville, Michigan. Qualified in 2017, 9 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4211 Parkway Place Dr SW
Grandville, MI 49418-2695
Phone: (616) 222-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6500 Byron Center Ave Sw, Byron Center, MI 49315-9080 — (616) 281-6311
  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (254) 652-5335

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301018991 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6351004338 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301017942 (MI)

Record details

NPI number1063067304
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESMay 14, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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