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

NPI Status: Active since October 27, 2020

Contact Information

628 ROYER ST
ROSEVILLE, CA
ZIP 95678
Phone: (530) 391-8670

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  • Individual
  • Female
  • Specialist/Technologist
  • Speech-Language Assistant

About JESSICA VAN DER HAEGEN

This page provides the complete NPI Profile along with additional information for Jessica Van Der Haegen, a provider established in Roseville, California with a medical specialization in Specialist/technologist, focusing in speech-language assistant . The healthcare provider is registered in the NPI registry with number 1962002170 assigned on October 2020. The practitioner's primary taxonomy code is 2355S0801X with license number 8440 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1962002170
Provider Name
JESSICA VAN DER HAEGEN BS
Gender
Female
Entity Type
Individual
Location Address
628 ROYER ST ROSEVILLE, CA 95678
Location Phone
(530) 391-8670
Mailing Address
628 ROYER ST ROSEVILLE, CA 95678
Mailing Phone
(530) 391-8670
Is Sole Proprietor?
No
Enumeration Date
10-27-2020
Last Update Date
08-20-2024
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Location Map

Secondary Locations

  • 9755 Lincoln Village Dr
    Sacramento, CA 95827
    (916) 995-5518

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Speech-Language Assistant

Taxonomy Code
2355S0801X
Type
Speech, Language and Hearing Service Providers
License No.
8440
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962002170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122004114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 0 + 4 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1962002170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639806482MS. KRISTINA VALENTINE OTR/L
Individual
Occupational Therapist628 ROYER ST
ROSEVILLE, CA 95678
(530) 391-8670
1093495525 ALEXIS AGUIRRE CF-SLP
Individual
Speech-Language Pathologist628 ROYER ST
ROSEVILLE, CA 95678
(916) 769-7898

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962002170, enumerated in the NPI registry as an "individual" on October 27, 2020

The provider is located at 628 Royer St Roseville, Ca 95678 and the phone number is (530) 391-8670

The provider's speciality is Specialist/Technologist with taxonomy code 2355S0801X with a focus in Speech-Language Assistant

This NPI record was last updated on October 27, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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