Individual provider Active NPI

Patrick Jon Armistead-Jehle, PHD

  • Clinical Neuropsychologist
  • Fort Leavenworth, KS
National Provider Identifier
1699843995
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2139 Issued in KS
Practice address
550 Pope Ave
Munson Army Health Center/Behavioral Health
Fort Leavenworth, KS 66223
Phone
(913) 684-6790
NPI assigned
Dec 4, 2006
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2139 KS Primary
Clinical Psychologist 103TC0700X 949 HI

Addresses

Primary practice location

550 Pope Ave
Munson Army Health Center/Behavioral Health
Fort Leavenworth, KS 66223

Mailing address

550 Pope Ave
Munson Army Health Center/Behavioral Health
Fort Leavenworth, KS 66223
Phone (913) 684-6790

Other names 1

  • Dr. Patrick Jon Jehle Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
949HIMDClinical Psychologist
2139KSMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1699843995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER/BEHAVIORAL HEALTH",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-684-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "address_2": "MUNSON ARMY HEALTH CENTER/BEHAVIORAL HEALTH",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "66223",
            "telephone_number": "913-684-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMISTEAD-JEHLE",
        "first_name": "PATRICK",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KS",
            "license": "2139",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "JEHLE",
            "middle_name": "JON",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.