Individual provider Active NPI

Jamie Ghere

  • School Psychologist
  • Colgate, WI
National Provider Identifier
1679407654
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
693021 Issued in WI
Practice address
3294 Willow Creek Rd
Colgate, WI 53017-9534
Phone
(262) 502-7281
NPI assigned
Jun 12, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 693021 WI Primary

Addresses

Primary practice location

3294 Willow Creek Rd
Colgate, WI 53017-9534

Mailing address

N104W13840 Donges Bay Rd
Germantown, WI 53022-4430
Phone (262) 502-7281

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": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1679407654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N104W13840 DONGES BAY RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224430",
            "telephone_number": "262-502-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 WILLOW CREEK RD",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179534",
            "telephone_number": "262-502-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHERE",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WI",
            "license": "693021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colgate, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.