Active NPI
Jeremy Todd Ehmke, ED.S., NCSP
- School Psychologist
- Nampa, ID
National Provider Identifier
1841374360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3671793
- Practice address
- 17659 Monarch Way
Nampa, ID 83687-9076 - Phone
- (208) 866-5200
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3671793 | AZ | Primary |
Addresses
Primary practice location
17659 Monarch Way
Nampa, ID 83687-9076
Mailing address
17659 Monarch Way
Nampa, ID 83687-9076
Phone (208) 866-5200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3671793 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen Creek Unified School District #95 | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Queen Creek, AZ
- NPI 1508908062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1841374360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17659 MONARCH WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879076",
"telephone_number": "208-866-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17659 MONARCH WAY",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879076",
"telephone_number": "208-866-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHMKE",
"first_name": "JEREMY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "ED.S., NCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3671793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.