JESSICA VAN DER HAEGEN BS
NPI 1962002170
Specialist/Technologist - Speech-Language Assistant in Roseville, CA

Active since October 27, 2020
628 ROYER ST, ROSEVILLE, CA 95678(530) 391-8670 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Oct 27, 2020 (2 updates tracked since 2020).

About Jessica Van Der Haegen Bs NPPES

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

JESSICA VAN DER HAEGEN BS (NPI 1962002170) is an individual speech-language assistant in Roseville, California, licensed in California (8440) and active in the NPI registry since October 2020. She maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1962002170
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameJESSICA VAN DER HAEGENCredential: BS
Location Address628 ROYER STRoseville, CA 95678-3249
Mailing Address628 Royer StRoseville, CA 95678-3249 · (530) 391-8670
Sole ProprietorNo
Enumeration DateOctober 27, 2020
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1962002170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License Licensed in CA · 8440
Also ListedBehavior TechnicianTaxonomy 106S00000X
628 ROYER ST, Roseville, CA 95678

Secondary Practice Location 1

Location 19755 Lincoln Village DrSacramento, CA 95827-3334 · Phone (916) 995-5518

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
628 ROYER ST
ROSEVILLE, CA 95678
Occupational Therapist
628 ROYER ST
ROSEVILLE, CA 95678

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 Jessica Van Der Haegen's NPI number?

The NPI number for Jessica Van Der Haegen is 1962002170. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Jessica Van Der Haegen located?

Jessica Van Der Haegen practices at 628 Royer St, Roseville, CA 95678. The listed phone number is (530) 391-8670.

What is Jessica Van Der Haegen's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Jessica Van Der Haegen was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.