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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COREY BOREN PSY.D
NPI 1679200471
Psychologist - Clinical in Granby, MO

Active since August 02, 2022
222 N HILLCREST DR, GRANBY, MO 64844(916) 893-4528 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Apr 25, 2026, Aug 6, 2022 (3 updates tracked since 2022).

About Corey Boren Psy.d NPPES

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

COREY BOREN PSY.D (NPI 1679200471) is an individual clinical provider in Granby, Missouri, licensed in Missouri (4521033015) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1679200471
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCOREY BORENCredential: PSY.D
Location Address222 N HILLCREST DRGranby, MO 64844-8198
Mailing Address222 N Hillcrest DrGranby, MO 64844-8198 · (916) 893-4528
Phone(916) 893-4528
Sole ProprietorYes
Enumeration DateAugust 2, 2022
Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1679200471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MO · 4521033015✔ Licensed in UT · 11564758-4805
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 458632154989544 (AR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 8469754655565 (OK)
222 N HILLCREST DR, Granby, MO 64844
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Other Identifiers 2

Medicaid458632154989544AR
Other25746CA · Phypact

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Corey Boren's NPI number?

The NPI number for Corey Boren is 1679200471. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Corey Boren located?

Corey Boren practices at 222 N Hillcrest Dr, Granby, MO 64844. The listed phone number is (916) 893-4528.

What is Corey Boren's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Corey Boren was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.