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

Jerry Depoy

Individual provider Peer Specialist · NPI 1306489240

Jerry Depoy is a Peer Specialist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

29566 Northwestern Hwy Ste 100
Southfield, MI 48034-1036
Phone: (248) 301-1098
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1306489240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address1216 Sycamore Dr, Jenison, MI 49428-8336

Other providers in Southfield