Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Dan Medders, NCSP

Individual provider School Psychologist · NPI 1538043203

Jeremy Dan Medders, NCSP is a School Psychologist in Goshen, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1 Garden Ter
Goshen, NY 10924-1403
Phone: (405) 635-4537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X

Record details

NPI number1538043203
Entity typeIndividual (Type 1)
GenderMale
Credentials NCSP
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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