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MRS. BRENDA MARIE JOCK DEROUIN MA, CAS
NPI 1780085472
Specialist in Watertown, NY

Active since September 12, 2014
21638 REED RD, WATERTOWN, NY 13601(315) 786-0677(315) 836-3782 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Brenda Marie Jock Derouin Ma, Cas NPPES

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

MRS. BRENDA MARIE JOCK DEROUIN MA, CAS (NPI 1780085472) is an individual specialist in Watertown, New York and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1780085472
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. BRENDA MARIE JOCK DEROUINCredential: MA, CAS
Location Address21638 REED RDWatertown, NY 13601-5048
Mailing Address14702 Military RdSackets Harbor, NY 13685-2162 · (315) 646-7074
Phone(315) 786-0677
Fax(315) 836-3782
Sole ProprietorNo
Enumeration DateSeptember 12, 2014
✔ NPI 1780085472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
21638 REED RD, Watertown, NY 13601
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Other Providers at the Same Location NPPES 15

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

MRS. STEPHANIE DONEY
Specialist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
MRS. NANCY ATEN PT
Physical Therapist (Pediatrics)
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
MRS. ERIN ELIZABETH COOK
Physical Therapist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
ONDREA CLARK
Specialist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
COURTNEY DONOVAN
Specialist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
MRS. SUSAN M CARROLL
Case Manager/Care Coordinator
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
JAIME NICOLE MONTANARO OTR/L
Occupational Therapist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677
MRS. RACHEL S. WISNER M.A., CCC-SLP
Speech-Language Pathologist
21638 REED RD
WATERTOWN, NY 13601
Jefferson County (315) 786-0677

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 Brenda Jock Derouin's NPI number?

The NPI number for Brenda Jock Derouin is 1780085472. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Brenda Jock Derouin located?

Brenda Jock Derouin practices at 21638 Reed Rd, Watertown, NY 13601. The listed phone number is (315) 786-0677.

What is Brenda Jock Derouin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brenda Jock Derouin was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.