Individual provider Active NPI

Megan Koneck

  • School Psychologist
  • Apple Valley, CA
National Provider Identifier
1720958812
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
12555 Navajo Rd
Apple Valley, CA 92308-7256
Phone
(760) 247-8001
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 Primary

Addresses

Primary practice location

12555 Navajo Rd
Apple Valley, CA 92308-7256

Mailing address

12555 Navajo Rd
Apple Valley, CA 92308-7256
Phone (760) 247-8001

Other practice location 1

21351 Yucca Loma Rd
Apple Valley, CA 92307-5844
Phone (760) 247-2623 ext. 44945

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Valley Unified School District CurrentSince Nov 9, 2025 Accepting new patients

Locations

12555 Navajo Rd
Apple Valley, CA 92308
Phone (760) 247-7206

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1720958812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 NAVAJO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087256",
            "telephone_number": "760-247-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 NAVAJO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087256",
            "telephone_number": "760-247-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21351 Yucca Loma Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923075844",
            "country_code": "US",
            "telephone_number": "760-247-2623 x44945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONECK",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.