Individual provider Active NPI

Sereny Sadler, MA

  • Cognitive & Behavioral Psychologist
  • Livonia, MI
National Provider Identifier
1174241897
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
6361008368 Issued in MI
Practice address
17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-7909
Phone
(734) 744-7252
NPI assigned
Aug 18, 2022
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 6361008368 MI Primary

Addresses

Primary practice location

17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-7909

Mailing address

17197 N Laurel Park Dr Ste 110
Livonia, MI 48152-7909
Phone (734) 744-7252

Other names 1

  • Sereny Mathis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.therapynotes.com Health Information Exchange (HIE)

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 Arts

State licenses

LicenseStateTypeSpecialty
6361008368MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Counseling and Psychological Services PC CurrentSince Aug 28, 2022 Accepting new patients

Locations

745 S Walnut St
Howell, MI 48843
Phone (201) 730-2462

809 E Grand River Ave
Ste B
Howell, MI 48843
Phone (517) 376-3002

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1174241897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 110",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527909",
            "telephone_number": "734-744-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17197 N LAUREL PARK DR STE 110",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527909",
            "telephone_number": "734-744-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "SERENY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6361008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17197 N Laurel Park Dr Ste 210",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481522680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SERENY",
            "last_name": "MATHIS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.