{"npi":"1235883000","type":"NPI-1","status":"active","name":{"display":"Kristen Boog PHD","other":[],"first":"KRISTEN","last":"BOOG","middle":"ELIZABETH","credential":"PHD"},"specialty":{"primary_taxonomy":"103TC2200X","primary_taxonomy_description":"Clinical Child & Adolescent Psychologist","slug":"clinical-child-adolescent-psychologist","schema_org_specialty":null,"all":[{"code":"103TC2200X","description":"Clinical Child & Adolescent Psychologist","primary":true,"state":"OH","license":"P.08499"}]},"addresses":[{"purpose":"LOCATION","street_1":"3521 BRIARFIELD BLVD","city":"MAUMEE","state":"OH","postal_code":"435379387","country_code":"US","phone":"4197947259","fax":"4197947261"},{"purpose":"MAILING","street_1":"2222 CHERRY ST STE 1900","city":"TOLEDO","state":"OH","postal_code":"436082673","country_code":"US","phone":"4192513878"}],"license":{"state":"OH","number":"P.08499"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0026196","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230922000868","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"OH","pac_id":"6002260270"}]},"enumeration_date":"2022-02-09","last_updated":"2025-04-14","_meta":{"source":"NPPES","snapshot_date":"2025-04-14","doc_url":"https://findmynpi.com/api"}}