Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174009336 Individual Practitioner Female Practitioner

Dr. Kelsey Brocker , PsyD

Psychologist - Clinical • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kelsey Brocker, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Boardman, OH. Practice services are available at 6505 MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6505 Market St

Boardman, OH 445123457

Telephone 3307468100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.7 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Boardman, OH (1691 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-20
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OH P.08420

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Logan Ison , PT, DPT

Physical Therapist - Sports

NPI 1124957246

Physical Therapist, Doctor of Physical Therapy

NPI 1285675736

Doctor of Medicine (M.D.)

Emily Best , APRN-CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366187908

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1376531434

Doctor of Osteopathic Medicine (D.O.)

Abigail Dinh

Pediatrics

NPI 1447835384
Amber Vozar

Pediatrics

NPI 1497331441

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 20, 2022

Registered at 6505 MARKET ST, BOARDMAN, OH 445123457 (Tel: 3307468100)

📍
Updated Business Mailing Address December 20, 2022

Registered at 305 SLEEPY HOLLOW DR, CANFIELD, OH 444061063 (Tel: 9124149306)

👤
Provider Name / Credentials Updated December 20, 2022

Recorded as KELSEY BROCKER, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Psychologist (License #P.08420 in OH)

NPI Profile Active July 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2018

Registered at 2201 E STATE ST, HERMITAGE, PA 161482727 (Tel: 7249817141)

📍
Updated Business Mailing Address July 11, 2018

Registered at 2201 E STATE ST, HERMITAGE, PA 161482727 (Tel: 7249817141)

👤
Provider Name / Credentials Updated July 11, 2018

Recorded as KELSEY WINTERS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2018

Counselor

🟢
Initial NPI Registration & Enumeration July 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174009336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2018
Last Update: December 20, 2022
Sole Proprietor: No

Mailing Address

305 Sleepy Hollow Dr

Canfield, OH 444061063

Phone: 9124149306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.