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DR. JACLYN RENEE DEROSSO AUD.
NPI 1184186447
Audiologist in Reseda, CA

Active since April 04, 2019
18040 SHERMAN WAY, RESEDA, CA 91335(503) 997-4669 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2020, Apr 4, 2019 (2 updates tracked since 2019).

About Dr. Jaclyn Renee Derosso Aud. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN RENEE DEROSSO AUD. (NPI 1184186447) is an individual audiologist in Reseda, California, licensed in Oregon (30928) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1184186447
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. JACLYN RENEE DEROSSOCredential: AUD.
Location Address18040 SHERMAN WAYReseda, CA 91335-4631
Mailing Address5309 Sw Multnomah BlvdPortland, OR 97219-3345 · (541) 979-2344
Phone(503) 997-4669
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1184186447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in OR · 30928
Definition
(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.
18040 SHERMAN WAY, Reseda, CA 91335
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Other Names 1

Former Name (1)Jaclyn Renee Paulson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE J JONES
Social Worker (Clinical)
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 758-1200
DR. SHEENIE AMBARDAR M.D.
Psychiatry & Neurology (Psychiatry)
18040 SHERMAN WAY, KAISER PERMANENTE SHERMAN TERRACE MEDICAL OFFICES
RESEDA, CA 91335
Los Angeles County (818) 758-1200
MR. TODD RICHARD ARMEN PA-C
Physician Assistant (Surgical)
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 774-0550
DR. MELISSA ROSE QUINN M.D.
Clinic/Center (Adolescent and Children Mental Health)
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 758-1255
MRS. NICOLE ESTHER MCCARTHY LCSW
Social Worker (Clinical)
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 758-1219
NANETTE MICHELLE FLYNN M.F.T.
Marriage & Family Therapist
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 758-1210
MRS. KARLA IVONNE FLORES LMFT
Marriage & Family Therapist
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 758-1324
DR. MARY KATHLEEN IGO M.D.
Psychiatry & Neurology (Psychiatry)
18040 SHERMAN WAY
RESEDA, CA 91335
Los Angeles County (818) 883-9941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Derosso's NPI number?

The NPI number for Jaclyn Derosso is 1184186447. It was assigned to this individual provider in the NPPES registry on April 4, 2019. The provider is also known as Jaclyn Renee Paulson.

Where is Jaclyn Derosso located?

Jaclyn Derosso practices at 18040 Sherman Way, Reseda, CA 91335. The listed phone number is (503) 997-4669.

What is Jaclyn Derosso's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

What insurance does Jaclyn Derosso accept?

Health plans from Providence Health Plan list Jaclyn Derosso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Derosso was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.