Jodie Denise Sanders

Individual provider Active NPI Community/Behavioral Health Agency · New Haven, MI

NPI 1629910054 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1629910054
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
57366 River Oaks Dr
New Haven, MI 48048-3300
Phone
(313) 717-2284
NPI assigned
Apr 6, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

57366 River Oaks Dr
New Haven, MI 48048-3300

Mailing address

57366 River Oaks Dr
New Haven, MI 48048-3300
Phone (313) 717-2284

Other providers in New Haven, MI

All providers in New Haven, MI · Community/Behavioral Health Agency in Michigan

Sources for this page

Verify at the official NPI Registry.