Individual provider Active NPI

Jennifer Ann Wood, MD

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1275769762
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301094469 Issued in MI
Practice address
20303 Kelly Rd
Detroit, MI 48225-1206
Phone
(313) 668-9318
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301094469 MI Primary

Addresses

Primary practice location

20303 Kelly Rd
Detroit, MI 48225-1206

Mailing address

1182 Woodside Trail Dr
Troy, MI 48085-1319
Phone (269) 779-3579

Other practice location 1

1182 Woodside Trail Dr
Troy, MI 48085-1319
Phone (269) 779-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000670 MI Practitioner - Psychiatry 0547410102 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301094469MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Vinch MD PLLC Psychiatry CurrentSince Jun 1, 2014 Accepting new patients
University Physician Group CurrentSince Jul 1, 2015 Accepting new patients
County of Macomb CurrentSince Aug 25, 2012 Accepting new patients
County of Macomb CurrentSince Aug 25, 2012 Accepting new patients

Locations

21885 Dunham Rd
Ste 5
Clinton Twp, MI 48036
Phone (586) 469-5200

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

20303 Kelly Rd
Harper Woods, MI 48225
Phone (313) 245-7000

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

16836 Newburgh Rd
#27
Livonia, MI 48154
Phone (734) 464-4220

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

43200 Dequindre Rd
Ste 104
Sterling Hts, MI 48314
Phone (586) 799-4350

1560 E Maple Rd
Ste 400
Troy, MI 48083

Organizations & group practices 5

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1275769762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 WOODSIDE TRAIL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851319",
            "telephone_number": "269-779-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-668-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1182 Woodside Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851319",
            "country_code": "US",
            "telephone_number": "269-779-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301094469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.