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KRISTEN ELIZABETH BOOG PHD
NPI 1235883000
Psychologist - Clinical Child & Adolescent in Maumee, OH

Active since February 09, 2022PECOS Enrolled
3521 BRIARFIELD BLVD, MAUMEE, OH 43537(419) 794-7259(419) 794-7261 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Aug 22, 2023, Sep 15, 2022 and 1 more (4 updates tracked since 2022).

About Kristen Elizabeth Boog Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ELIZABETH BOOG PHD (NPI 1235883000) is an individual clinical child & adolescent provider in Maumee, Ohio, licensed in Ohio (P.08499) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235883000
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameKRISTEN ELIZABETH BOOGCredential: PHD
Location Address3521 BRIARFIELD BLVDMaumee, OH 43537-9387
Mailing Address2222 Cherry St Ste 1900Toledo, OH 43608-2673 · (419) 251-3878
Phone(419) 794-7259
Fax(419) 794-7261
Sole ProprietorNo
Enumeration DateFebruary 9, 2022
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1235883000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in OH · P.08499
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3521 BRIARFIELD BLVD, Maumee, OH 43537
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1420 W 5th AveFlint, MI 48503-2445 · Phone (810) 257-3705
Location 21 Hurley PlzFlint, MI 48503-5902 · Phone (810) 262-9000

Other Identifiers 1

Medicaid0026196OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Elizabeth Boog Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LEMUT
Behavior Analyst
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
HEIDI BLEYER BCBA/COBA
Behavior Analyst
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
PAIGE WESTHOVEN
Behavior Analyst
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
STEPHANIE LEE MCGILL M.A. CCC-SLP
Speech-Language Pathologist
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
GBNP, LLC
Nurse Practitioner
3521 BRIARFIELD BLVD, SUITE C
MAUMEE, OH 43537
Lucas County (419) 868-1258
ALAINE BEELER CCC-SLP
Speech-Language Pathologist
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
MISS ALLISON MAY KEEFER LISW-S
Social Worker (Clinical)
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259
MATTHEW PAUL ZALECKI MSW, LISW
Social Worker (Clinical)
3521 BRIARFIELD BLVD
MAUMEE, OH 43537
Lucas County (419) 794-7259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Boog's NPI number?

The NPI number for Kristen Boog is 1235883000. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Kristen Boog located?

Kristen Boog practices at 3521 Briarfield Blvd, Maumee, OH 43537. The listed phone number is (419) 794-7259.

What is Kristen Boog's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kristen Boog enrolled in Medicare?

Yes. Kristen Boog is registered in the Medicare PECOS enrollment system.

What insurance does Kristen Boog accept?

Health plans from CareSource, McLaren Health Plan Community, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Kristen Boog as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristen Boog was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.