Active NPI
Kimberly McGonigle, EDS, NCSP
- School Psychologist
- Bethesda, MD
National Provider Identifier
1205643244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CER-189616-Y2X0C2
- Practice address
- 6400 Rock Spring Dr
Bethesda, MD 20814-1913 - Phone
- (240) 740-6842
- NPI assigned
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | CER-189616-Y2X0C2 | MD | Primary |
Addresses
Primary practice location
6400 Rock Spring Dr
Bethesda, MD 20814-1913
Mailing address
901 N Pollard St Apt 413
Arlington, VA 22203-4089
Phone (561) 891-0258
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 |
|---|---|---|---|
| CER-189616-Y2X0C2 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1205643244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N POLLARD ST APT 413",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222034089",
"telephone_number": "561-891-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 ROCK SPRING DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141913",
"telephone_number": "240-740-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGONIGLE",
"first_name": "KIMBERLY",
"credential": "EDS, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CER-189616-Y2X0C2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.