Individual provider Active NPI

Halyna Meronek-Serdiuk, PSYD, LLP

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1871700195
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013015 Issued in MI
Practice address
38345 W. Ten Mile Road
Suite 150 a
Farmington Hills, MI 48335
Phone
(248) 478-0422
Fax
(248) 478-0435
NPI assigned
May 17, 2007
Last updated
Aug 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013015 MI Primary

Addresses

Primary practice location

38345 W. Ten Mile Road
Suite 150 a
Farmington Hills, MI 48335

Mailing address

38345 W 10 Mile Rd
Farmington Hills, MI 48335-2867
Phone (248) 478-0422

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

State licenses

LicenseStateTypeSpecialty
6301013015MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1871700195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38345 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352867",
            "telephone_number": "248-478-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 W. TEN MILE ROAD",
            "address_2": "SUITE 150 A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48335",
            "telephone_number": "248-478-0422",
            "fax_number": "248-478-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERONEK-SERDIUK",
        "first_name": "HALYNA",
        "name_prefix": "Ms.",
        "credential": "PSYD, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.