Kaylee Jordan Bockhorn, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01255300 Issued in NJ

Practice address

316B Kinderkamack Road
Westwood, NJ 07675

Phone

(201) 297-9167

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wings ABA Therapy LLC

  • Behavior Analyst
  • Westwood, NJ
  • NPI 1669033882
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1659110260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PILLAR DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316B KINDERKAMACK ROAD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-297-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHORN",
        "first_name": "KAYLEE",
        "middle_name": "JORDAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01255300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Bieri
• Robyn T Bilinski, MD
• Biopath Diagnostic Associates, PC
• Blue Heron Vitality LLC
• Jonathan E Blume, M.D.
• Teresa Rose Boemio, MS
• Andrew Michael Boruta, DO
• Mikhail A Botvinov, D.O.
• Mina Boulos, M.D., D.M.D.
• Laurie A Bovino, DMD

• Speech-Language Pathologist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.