Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jessica Ann Depetro, DO, MSC

Individual provider Psychiatry Physician · NPI 1528636008

Dr. Jessica Ann Depetro, DO, MSC is a Psychiatry in Southfield, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2021, 5 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

26091 Beaumont Blvd D3-1708
Southfield, MI 48033
Phone: (947) 522-3088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5151014796APP21 (MI)

Record details

NPI number1528636008
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , MSC
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateMay 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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