DR. ROBERT WALTER BOHLANDER PHD
NPI 1306862354
Psychologist in Kingston, PA

Active since July 14, 2006Opted out of Medicare · through Jan 1, 2028
203 WYOMING AVENUE, KINGSTON, PA 18704(570) 675-6015(570) 675-6015 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Walter Bohlander Phd NPPES

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

DR. ROBERT WALTER BOHLANDER PHD (NPI 1306862354) is an individual psychologist in Kingston, Pennsylvania, licensed in Pennsylvania (PS005468-L) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306862354
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROBERT WALTER BOHLANDERCredential: PHD
Location Address203 WYOMING AVENUEKingston, PA 18704
Mailing Address425 Upper Demunds RoadDallas, PA 18612 · (570) 675-6015 · Fax (570) 675-6015
Fax(570) 675-6015
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306862354 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 PA · PS005468-L
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.
203 WYOMING AVENUE, Kingston, PA 18704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert Walter Bohlander Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Robert Bohlander's NPI number?

The NPI number for Robert Bohlander is 1306862354. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Robert Bohlander located?

Robert Bohlander practices at 203 Wyoming Avenue, Kingston, PA 18704. The listed phone number is (570) 675-6015.

What is Robert Bohlander's specialty?

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

Is Robert Bohlander enrolled in Medicare?

No. Robert Bohlander has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Bohlander was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.