MR. JEREMY TODD EHMKE (NPI# 1841374360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841374360 |
| Entity Type | Individual |
| Full Name | MR. JEREMY TODD EHMKE |
| Credential | ED.S., NCSP |
| Practice Address |
20740 S Ellsworth Rd Queen Creek AZ 85242-9058 |
| Mailing Address |
19450 E Reins Rd Queen Creek AZ 85242-8612 |
| Practice Telephone | 4809875900 |
| Practice Fax Number | 4809879714 |
| Mailing Telephone | 4809870318 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3671793 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
20740 S ELLSWORTH RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548355563 | Mary C Masellis | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2006-10-04 |
| 1801028386 | Janelle Ucci | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2009-08-17 |
| 1851546709 | Daune Flores | Counselor | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2008-11-19 |
| 1609030618 | Paul N Black | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2008-07-18 |
| 1013196674 | Dana L Sandlin | Registered Nurse | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-10-31 |
| 1558480012 | Jessica Leo | Social Worker | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-03-28 |
| 1861523284 | Traci Anne Deland | Speech-Language Pathologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-03-08 |
| 1508908062 | Queen Creek Unified School District #95 | Local Education Agency (LEA) | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-02-13 |
| 1821140336 | Judith Hodgkinson-hamm | Speech-Language Pathologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-01-17 |
| 1265581656 | Amy Elizabeth Greenway | Occupational Therapist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
| 1972831972 | Richard Snaith | Psychologist | 39501 N Carolina Ave, Queen Creek, AZ 85140-5718 | 2009-12-02 |
| 1760614846 | Alicia Miller | Psychologist | 35900 N Charbray Dr, Queen Creek, AZ 85243-5109 | 2009-08-21 |
| 1346472420 | Kade Johnson | Psychologist | 212 W Hayden Park Rd, Queen Creek, AZ 85243-6079 | 2009-08-21 |
| 1437337409 | Danielle Suzanne Stuhlmiller | Psychologist | 475 E Chelsea Dr, Queen Creek, AZ 85240-5271 | 2008-02-01 |
| 1548355563 | Mary C Masellis | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2006-10-04 |
| 1801028386 | Janelle Ucci | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2009-08-17 |
| 1609030618 | Paul N Black | Psychologist | 20740 S Ellsworth Rd, Queen Creek, AZ 85242-9058 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
| 1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
| 1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
| 1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
| 1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
| 1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
| 1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
| 1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
| 1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
| 1508378209 | Shanna Schopmeyer | Psychologist | 9646 E Baltimore St, Mesa, AZ 85207-8030 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on MR. JEREMY TODD EHMKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.