IndividualActive
Kelly Bockholt
NPI 1508729831 · Behavior Technician · Clearwater, FL
Kelly Bockholt is a Behavior Technician provider in Clearwater, FL (NPI 1508729831).
Provider details
- NPI number
- 1508729831
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
4585 140th Ave N Ste 1012
Clearwater, FL 33762-3806
Phone: (727) 831-4745
Street-level locationGet directions
Mailing address
2910 Ivanhoe Way S
St Petersburg, FL 33705-3605
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Kelly Bockholt's NPI number?
- Kelly Bockholt's National Provider Identifier (NPI) is 1508729831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bockholt's specialty?
- Kelly Bockholt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kelly Bockholt located?
- Kelly Bockholt's practice location on file with NPPES is 4585 140th Ave N Ste 1012, Clearwater, FL 33762-3806.
- What is Kelly Bockholt's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bockholt is (727) 831-4745.
- Is Kelly Bockholt's NPI active?
- Yes — Kelly Bockholt's NPI (1508729831) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.