IndividualActive
Kelsey Brocker, PSYD
NPI 1174009336 · Clinical Psychologist · Boardman, OH
Provider details
- NPI number
- 1174009336
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- P.08420 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6505 Market St
Boardman, OH 44512-3457
Phone: (330) 746-8100
Street-level locationGet directions
Mailing address
305 Sleepy Hollow Dr
Canfield, OH 44406-1063
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2022-12-20
- Certified
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.