Active NPI
Jerome Devase
- School Psychologist
- Fair Oaks, CA
National Provider Identifier
1194641464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 260075400
- Practice address
- 8842 Winding Way Apt 446
Fair Oaks, CA 95628-6498 - Phone
- (310) 739-6575
- NPI assigned
- Jun 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4869157040 | CT | |
| School Psychologist | 103TS0200X | 2702085 | IL | |
| School Psychologist | 103TS0200X | 260075400 | CA | Primary |
Addresses
Primary practice location
8842 Winding Way Apt 446
Fair Oaks, CA 95628-6498
Mailing address
8842 Winding Way Apt 446
Fair Oaks, CA 95628-6498
Phone (310) 739-6575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1194641464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8842 WINDING WAY APT 446",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956286498",
"telephone_number": "310-739-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8842 WINDING WAY APT 446",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956286498",
"telephone_number": "310-739-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVASE",
"first_name": "JEROME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CT",
"license": "4869157040",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2702085",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "260075400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.