IndividualActive
Brenda Jock Derouin, MA, CAS
NPI 1780085472 · Specialist · Watertown, NY
Brenda Jock Derouin, MA, CAS is a Specialist provider in Watertown, NY (NPI 1780085472).
Provider details
- NPI number
- 1780085472
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MA, CAS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21638 Reed Rd
Watertown, NY 13601-5048
Phone: (315) 786-0677
Fax: (315) 836-3782
Street-level locationGet directions
Mailing address
14702 Military Rd
Sackets Harbor, NY 13685-2162
Registry dates
- Enumerated
- 2014-09-12
- Last updated
- 2014-09-12
Frequently asked questions
- What is Brenda Jock Derouin's NPI number?
- Brenda Jock Derouin's National Provider Identifier (NPI) is 1780085472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brenda Jock Derouin's specialty?
- Brenda Jock Derouin is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Brenda Jock Derouin located?
- Brenda Jock Derouin's practice location on file with NPPES is 21638 Reed Rd, Watertown, NY 13601-5048.
- What is Brenda Jock Derouin's phone number?
- The practice phone number listed in the NPPES registry for Brenda Jock Derouin is (315) 786-0677.
- Is Brenda Jock Derouin's NPI active?
- Yes — Brenda Jock Derouin's NPI (1780085472) is active in the NPPES registry as of the last update on 2014-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.