Corey Boren, PSYD is a
Psychologist - Clinical based in Granby, Missouri. Corey Boren is licensed to practice in Missouri (license number 4521033015) and his current practice location is
222 N Hillcrest Dr, Granby, Missouri. He can be reached at his office (for appointments etc.) via phone at
(916) 893-4528.
NPI number for Corey Boren is 1679200471 and his current mailing address is 222 N Hillcrest Dr, Granby, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679200471.
Healthcare Provider's Profile
| Full Name | Corey Boren |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 222 N Hillcrest Dr, Granby, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679200471
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 06/10/2026
Medical Identifiers
Medical identifiers for Corey Boren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679200471 | NPI | - | NPPES |
| 458632154989544 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 458632154989544 (Arkansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4521033015 (Missouri) | Primary |
| 101YM0800X | Counselor - Mental Health | 8469754655565 (Oklahoma) | Secondary |
| 103TC0700X | Psychologist - Clinical | 11564758-4805 (Utah) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Corey Boren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Corey Boren, PSYD
222 N Hillcrest Dr,
Granby, MO 64844-8198
Ph: (916) 893-4528 | Corey Boren, PSYD
222 N Hillcrest Dr,
Granby, MO 64844-8198
Ph: (916) 893-4528 |
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