Your Goodvillage Collective

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

YOUR GOODVILLAGE COLLECTIVE

Practice address

12811 Hemingway
Redford, MI 48239-4606

Phone

(888) 357-2366

Fax

(888) 357-2366

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Anjanette Davenport Hatter, LMSWNPI 1801548193

Title

Founding Executive Director

Phone

(313) 510-7003

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anjanette Davenport Hatter, LMSW

  • Clinical Social Worker
  • Redford, MI
  • NPI 1801548193
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1568040798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12811 HEMINGWAY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482394606",
            "telephone_number": "313-510-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 HEMINGWAY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482394606",
            "telephone_number": "888-357-2366",
            "fax_number": "888-357-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR GOODVILLAGE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT HATTER",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_title_or_position": "FOUNDING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-510-7003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodward Detroit CVS, L.L.C.
• Sean Woolf
• World Health Care MC LLC
• Dempster K Yallah
• Douglas A. Yaraschuk
• Richard T Zabrosky, CMT
• Joseph James Zambo, M.A.
• Dominique Zander
• Kim M. Zell, D.C.
• Lanlan Zhang, D.D.S.

• Public Health or Welfare Agency in Redford, MI
• Providers in Redford, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.