Individual provider Active NPI

Jeremy Todd Ehmke, ED.S., NCSP

  • School Psychologist
  • Nampa, ID
National Provider Identifier
1841374360
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
3671793 Issued in AZ
Practice address
17659 Monarch Way
Nampa, ID 83687-9076
Phone
(208) 866-5200
NPI assigned
Oct 24, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 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

LicenseStateTypeSpecialty
3671793AZMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.