RUSSELL L BOLYARD PSY.D.
NPI 1073562997
Psychologist in Memphis, TN

Active since May 08, 2006
1282 UNION AVE, HEALTH SOUTH REHABILITATION HOSPITAL, MEMPHIS, TN 38104(901) 729-5159 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell L Bolyard Psy.d. NPPES

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

RUSSELL L BOLYARD PSY.D. (NPI 1073562997) is an individual psychologist in Memphis, Tennessee, licensed in Tennessee (P00907) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1073562997
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRUSSELL L BOLYARDCredential: PSY.D.
Location Address1282 UNION AVE, HEALTH SOUTH REHABILITATION HOSPITALMemphis, TN 38104-3414
Mailing Address9477 Cedar Glen CvCordova, TN 38016-4700 · (901) 729-5159
Sole ProprietorYes
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 26, 2012
NPI 1073562997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TN · P00907
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1282 UNION AVE, Memphis, TN 38104

Other Identifiers 5

Medicare ID-Type Unspecified3689428TN · Cigna Medicare
Medicaid00951505MS
Other3100399TN · Bcbs Of Tn
Medicaid3689428TN
Medicare UPINU31781

Other Providers at the Same Location NPPES 11

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

Pharmacist
1282 UNION AVE
MEMPHIS, TN 38104
Internal Medicine
1282 UNION AVE
MEMPHIS, TN 38104
Occupational Therapist
1282 UNION AVE
MEMPHIS, TN 38104
Rehabilitation Hospital
1282 UNION AVE
MEMPHIS, TN 38104
Internal Medicine
1282 UNION AVE
MEMPHIS, TN 38104
Physical Medicine & Rehabilitation
1282 UNION AVE
MEMPHIS, TN 38104
Internal Medicine
1282 UNION AVE
MEMPHIS, TN 38104
Occupational Therapist
1282 UNION AVE
MEMPHIS, TN 38104

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 Russell Bolyard's NPI number?

The NPI number for Russell Bolyard is 1073562997. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Russell Bolyard located?

Russell Bolyard practices at 1282 Union Ave Health South Rehabilitation Hospital, Memphis, TN 38104. The listed phone number is (901) 729-5159.

What is Russell Bolyard's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Russell Bolyard was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.