Kristen Elizabeth Boog, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

P.08499 Issued in OH

Practice address

2222 Cherry St Ste 2300
Toledo, OH 43608-2675

Phone

(567) 368-1311

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
• FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

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.

• Northwest Pediatric Specialists, LLC

  • Pediatrics Physician
  • Toledo, OH
  • NPI 1033709100
  Medicare reassignment NPD

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1235883000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 2300",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082675",
            "telephone_number": "567-368-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 Conneaut Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434025300",
            "country_code": "US",
            "telephone_number": "419-354-3295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Market St",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448832610",
            "country_code": "US",
            "telephone_number": "567-368-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201402",
            "country_code": "US",
            "telephone_number": "567-368-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 N McCord Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436151701",
            "country_code": "US",
            "telephone_number": "567-368-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3521 Briarfield Blvd",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435379387",
            "country_code": "US",
            "telephone_number": "419-794-7259",
            "fax_number": "419-794-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 The Blvd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435377573",
            "country_code": "US",
            "telephone_number": "567-368-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOG",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "P.08499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Loy Bonnell, M.D.
• Ebony Bonner
• Danielle Bonnicksen
• Aaron Jude Bonnough, MA
• Katee E Bons
• Abigail Booher
• Suzette Michelle Book, R.K.T.
• Justin Booker
• Nicholas Jon Booker, DDS
• Sonia Booker

• Clinical Child & Adolescent Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.