KAITLYNE BODOH
NPI 1194686758
Licensed Psychiatric Technician in Porterville, CA

Active since November 21, 2025
1055 W HENDERSON AVE, PORTERVILLE, CA 93257(559) 788-1200(559) 788-1200 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyne Bodoh NPPES

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

KAITLYNE BODOH (NPI 1194686758) is an individual licensed psychiatric technician in Porterville, California, licensed in California (42742) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1194686758
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameKAITLYNE BODOH
Location Address1055 W HENDERSON AVEPorterville, CA 93257-1490
Mailing Address1055 W Henderson AvePorterville, CA 93257-1490 · (559) 788-1200 · Fax (559) 749-9772
Fax(559) 788-1200
Sole ProprietorNo
Enumeration DateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
NPI 1194686758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · 42742
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
1055 W HENDERSON AVE, Porterville, CA 93257

Other Providers at the Same Location NPPES 16

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

Marriage & Family Therapist
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Nurse's Aide
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Social Worker (Clinical)
1055 W HENDERSON AVE, SUITE #2
PORTERVILLE, CA 93257
Marriage & Family Therapist
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Clinic/Center (Mental Health (Including Community Mental Health Center))
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Social Worker (Clinical)
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Counselor (Addiction (Substance Use Disorder))
1055 W HENDERSON AVE
PORTERVILLE, CA 93257
Peer Specialist
1055 W HENDERSON AVE
PORTERVILLE, CA 93257

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 Kaitlyne Bodoh's NPI number?

The NPI number for Kaitlyne Bodoh is 1194686758. It was assigned to this individual provider in the NPPES registry on November 21, 2025.

Where is Kaitlyne Bodoh located?

Kaitlyne Bodoh practices at 1055 W Henderson Ave, Porterville, CA 93257. The listed phone number is (559) 788-1200.

What is Kaitlyne Bodoh's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Kaitlyne Bodoh was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.