Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tara Leigh Krog, PHD

Individual provider Clinical Psychologist · NPI 1710057104

MS. Tara Leigh Krog, PHD is a Clinical Psychologist in Phoenix, Arizona. Graduated from Sanford School of Medicine of University of South Dakota in 2009, 17 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2916 E Pierce
Phoenix, AZ 85004
Phone: (602) 344-5982
Fax: (480) 344-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4025 (AZ)

Record details

NPI number1710057104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESOctober 7, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2009 (17 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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