Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN M BOLAND PHD
NPI 1104820935
Psychologist - Clinical in La Crosse, WI

Q: What is Kevin Boland's NPI number?

The NPI number for Kevin Boland is 1104820935. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Kevin Boland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Boland was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.

Active since June 09, 2005

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300(608) 775-4467 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin M Boland Phd NPPES

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

KEVIN M BOLAND PHD (NPI 1104820935) is an individual clinical provider in La Crosse, Wisconsin, licensed in Wisconsin (1127) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104820935

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKEVIN M BOLANDCredential: PHD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300 · Fax (608) 775-4467

Phone(608) 782-7300

Fax(608) 775-4467

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104820935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 1127

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1836 SOUTH AVE, La Crosse, WI 54601

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Other Identifiers 1

Medicaid39073400WI

Other Providers at the Same Location NPPES 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered