DR. KENNETH MARK WOOG PSY.D.
NPI 1437223245
Psychologist - Clinical Child & Adolescent in Lake Forest, CA

Active since November 20, 2006Opted out of Medicare · through Oct 1, 2027
23591 EL TORO RD, SUITE 104, LAKE FOREST, CA 92630(949) 422-4120(949) 296-0398 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Mark Woog Psy.d. NPPES

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

DR. KENNETH MARK WOOG PSY.D. (NPI 1437223245) is an individual clinical child & adolescent provider in Lake Forest, California, licensed in California (PSY20560) and active in the NPI registry since November 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1437223245
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. KENNETH MARK WOOGCredential: PSY.D.
Location Address23591 EL TORO RD, SUITE 104Lake Forest, CA 92630-4774
Mailing Address22365 El Toro Rd, Pmb 271Lake Forest, CA 92630-5053 · (949) 422-4120 · Fax (949) 296-0398
Fax(949) 296-0398
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 19, 2010
NPI 1437223245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in CA · PSY20560
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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY20560 (CA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY20560 (CA)
23591 EL TORO RD, Lake Forest, CA 92630

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kenneth Mark Woog Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 8

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

Hospice Care, Community Based
23591 EL TORO RD, SUITE 200
LAKE FOREST, CA 92630
Psychologist (Clinical)
23591 EL TORO RD, SUITE 204
LAKE FOREST, CA 92630
Dentist
23591 EL TORO RD, SUITE # 130
LAKE FOREST, CA 92630
Marriage & Family Therapist
23591 EL TORO RD, STE. 275
LAKE FOREST, CA 92630
Lactation Consultant, Non-RN
23591 EL TORO RD, STE 176
LAKE FOREST, CA 92630
Dentist
23591 EL TORO RD, SUITE #130
LAKE FOREST, CA 92630
Home Health
23591 EL TORO RD, SUITE 155
LAKE FOREST, CA 92630
In Home Supportive Care
23591 EL TORO RD, SUITE 265
LAKE FOREST, CA 92630

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 Kenneth Woog's NPI number?

The NPI number for Kenneth Woog is 1437223245. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Kenneth Woog located?

Kenneth Woog practices at 23591 El Toro Rd Suite 104, Lake Forest, CA 92630. The listed phone number is (949) 422-4120.

What is Kenneth Woog's specialty?

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

Is Kenneth Woog enrolled in Medicare?

No. Kenneth Woog has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kenneth Woog was last updated on May 19, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.