DAUBNEY M BOLAND PHD
NPI 1144579632
Psychologist - Prescribing (Medical) in Las Cruces, NM

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
1635 S DON ROSER DR, LAS CRUCES, NM 88011(575) 636-2506(575) 288-2691 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2017, Sep 13, 2016, Dec 31, 2015 (3 updates tracked since 2015).

About Daubney M Boland Phd NPPES

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

DAUBNEY M BOLAND PHD (NPI 1144579632) is an individual prescribing (medical) provider in Las Cruces, New Mexico, licensed in New Mexico (0122) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Cruces, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144579632
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameDAUBNEY M BOLANDCredential: PHD
Location Address1635 S DON ROSER DRLas Cruces, NM 88011-4550
Mailing Address4577 Northwind RdLas Cruces, NM 88007-4531 · (512) 923-0656
Fax(575) 288-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 30, 2012
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1144579632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License Licensed in NM · 0122
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologistTaxonomy 103T00000X · License 1332 (NM)
1635 S DON ROSER DR, Las Cruces, NM 88011

Other Names 1

Other Name (5)Daubney Boland Phd

Secondary Practice Location 1

Location 11240 S Telshor BlvdLas Cruces, NM 88011-4731 · Phone (575) 259-3638 · Fax (855) 538-0781

Other Identifiers 1

Medicaid10739831NM

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daubney M Boland Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062736390
PECOS Enrollment IDI20150115000941
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

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

Social Worker
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Social Worker
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Nurse Practitioner (Primary Care)
1635 S DON ROSER DR, LAS CRUCES VA CBOC
LAS CRUCES, NM 88011
Pharmacist
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Psychologist (Prescribing (Medical))
1635 S DON ROSER DR
LAS CRUCES, NM 88011
Counselor (Mental Health)
1635 S DON ROSER DR
LAS CRUCES, NM 88011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144579632, enumerated as an "individual" on August 30, 2012.

The provider is located at 1635 S DON ROSER DR LAS CRUCES, NM 88011 and the phone number is (575) 636-2506.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.