DR. JACLYN RENEE DEROSSO (NPI# 1184186447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184186447 |
| Entity Type | Individual |
| Full Name | DR. JACLYN RENEE DEROSSO |
| Other Name | JACLYN RENEE PAULSON |
| Credential | AUD. |
| Practice Address |
18040 Sherman Way Reseda CA 91335-4631 |
| Mailing Address |
5309 Sw Multnomah Blvd Portland OR 97219-3345 |
| Practice Telephone | 5039974669 |
| Mailing Telephone | 5419792344 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 30928 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
18040 SHERMAN WAY |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801979760 | Saba Notghi | Psychiatry & Neurology | 18040 Sherman Way, Third Floor, Reseda, CA 91335-4631 | 2006-10-23 |
| 1003451691 | Dulce Hogar Adult Day Health Center, LLC | Community Health Worker | 18040 Sherman Way, Reseda, CA 91335 | 2019-11-07 |
| 1962050757 | Evn Dialysis Center | Clinic/Center | 18040 Sherman Way, Reseda, CA 91335-4631 | 2019-08-27 |
| 1902310766 | Laurel E Alstot | Audiologist | 18040 Sherman Way, Reseda, CA 91335-4631 | 2017-11-30 |
| 1578976981 | Marat Nadirovich Shamsutdinov | Psychiatry & Neurology | 18040 Sherman Way, Reseda, CA 91335-4631 | 2014-06-04 |
| 1104163443 | Karla Ivonne Flores | Marriage & Family Therapist | 18040 Sherman Way, Reseda, CA 91335-4631 | 2013-01-07 |
| 1427306869 | Mallory Downing Hepp | Social Worker | 18040 Sherman Way, Reseda, CA 91335-4631 | 2012-08-15 |
| 1235493669 | Joann Porter | Marriage & Family Therapist | 18040 Sherman Way, Reseda, CA 91335-4631 | 2012-06-29 |
| 1275823791 | Elsa Kristen Haloman | Psychiatry & Neurology | 18040 Sherman Way, Reseda, CA 91335-4631 | 2011-04-18 |
| 1609188374 | Leticia Juliette Morales | Marriage & Family Therapist | 18040 Sherman Way, Reseda, CA 91335 | 2010-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310766 | Laurel E Alstot | Audiologist | 18040 Sherman Way, Reseda, CA 91335-4631 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273856 | Jaclyn Marie Moor | Audiologist | 2452 Watson Ct Ste 1700, Palo Alto, CA 94303-3216 | 2020-10-20 |
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1063029635 | Julia Rebecca Drouin | Audiologist | 520 N Brookhurst St Ste 107, Anaheim, CA 92801-5207 | 2020-09-28 |
| 1093329096 | Chad Walker | Audiologist | 20911 Earl St Ste 400, Torrance, CA 90503-4355 | 2020-09-07 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1518570779 | Lauren Jean Sandberg | Audiologist | 1805 N New Hampshire Ave, Los Angeles, CA 90027-4231 | 2020-08-27 |
| 1366052680 | Chenchen Zhang | Audiologist | 2280 Diamond Blvd Ste 520, Concord, CA 94520-5719 | 2020-08-01 |
| 1407464233 | Alexis Marina Ronney | Audiologist | 197 E Caroline St Ste 1100, San Bernardino, CA 92408-3731 | 2020-07-17 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.