Individual provider Active NPI

Sarah Nicole Mendelssohn, MS, LLP

  • Psychologist
  • Novi, MI
National Provider Identifier
1073112355
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818
Phone
(877) 693-5543
Fax
(248) 221-1775
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X 6361007919 MI
Psychologist 103T00000X MI Primary

Addresses

Primary practice location

41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818

Mailing address

23231 Woodward Ave
Ferndale, MI 48220-1361
Phone (248) 325-8199

Other practice location 1

230 Collingwood St Ste 250
Ann Arbor, MI 48103-3845
Phone (248) 325-8199

Other names 1

  • Sarah Nicole Kesler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6361007919MIMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health Live Authentic PLLC Multi-Specialty CurrentSince Jul 13, 2025 Accepting new patients
Fairsky Foundation Psychologist Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 110
Novi, MI 48375
Phone (877) 693-5543

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1073112355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23231 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201361",
            "telephone_number": "248-325-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Collingwood St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481033845",
            "country_code": "US",
            "telephone_number": "248-325-8199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSSOHN",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "MS, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6361007919",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KESLER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.