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DR. KELSEY BROCKER PSYD
NPI 1174009336
Psychologist - Clinical in Boardman, OH

Active since July 11, 2018
6505 MARKET ST, BOARDMAN, OH 44512(330) 746-8100 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Jul 11, 2018 (2 updates tracked since 2018).

About Dr. Kelsey Brocker Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELSEY BROCKER PSYD (NPI 1174009336) is an individual clinical provider in Boardman, Ohio, licensed in Ohio (P.08420) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1174009336
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELSEY BROCKERCredential: PSYD
Location Address6505 MARKET STBoardman, OH 44512-3457
Mailing Address305 Sleepy Hollow DrCanfield, OH 44406-1063 · (912) 414-9306
Phone(330) 746-8100
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1174009336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · P.08420
Definition
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.
6505 MARKET ST, Boardman, OH 44512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., MedMutual, SummaCare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN J ZAJAC CRNA
Nurse Anesthetist, Certified Registered
6505 MARKET ST, BUILDING B
BOARDMAN, OH 44512
Mahoning County (330) 758-1065
HI MOON AHN MD
Pediatrics
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 884-2425
MRS. REGINA M O'LEARY CRNP
Nurse Practitioner (Neonatal)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 480-2363
MR. STEPHEN JOSEPH RENSCHLER
Physical Therapist (Geriatrics)
6505 MARKET ST, BUILDING D
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2329
MARISA M MANCUSO DO
Pediatrics
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 543-8178
LOGAN BRYANT ISON PT, DPT
Physical Therapist (Sports)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 746-8100
SWARAJYA LAKSHMI PERNI MD
Radiology (Diagnostic Radiology)
6505 MARKET ST, BUILDING A SUITE 201
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2200
WILLIAM K NOWOTNY D.O.
Emergency Medicine
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 726-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Brocker's NPI number?

The NPI number for Kelsey Brocker is 1174009336. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Kelsey Brocker located?

Kelsey Brocker practices at 6505 Market St, Boardman, OH 44512. The listed phone number is (330) 746-8100.

What is Kelsey Brocker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Kelsey Brocker accept?

Health plans from Antidote Health Plan of Ohio, Inc., MedMutual and SummaCare list Kelsey Brocker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Brocker was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.