DR. JUSTIN BOLAND PHD
NPI 1679096788
Psychologist in Las Cruces, NM

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment
2100 S TRIVIZ DR STE G, LAS CRUCES, NM 88001(575) 556-1849(575) 532-2030 Get Directions Write a Review

NPPES record last updated: August 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2019, Jul 20, 2017 (2 updates tracked since 2017).

About Dr. Justin Boland Phd NPPES

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

DR. JUSTIN BOLAND PHD (NPI 1679096788) is an individual psychologist in Las Cruces, New Mexico, licensed in New Mexico (1429) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679096788
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JUSTIN BOLANDCredential: PHD
Location Address2100 S TRIVIZ DR STE GLas Cruces, NM 88001-0601
Mailing Address4577 Northwind RdLas Cruces, NM 88007-4531 · (650) 303-9102
Fax(575) 532-2030
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2017
Last NPPES UpdateAugust 11, 20192 updates tracked since enumeration
NPI 1679096788 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 NM · 1429
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.
2100 S TRIVIZ DR STE G, Las Cruces, NM 88001

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

Dr. Justin 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 ID1456626597
PECOS Enrollment IDI20170929000520
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
28 services14 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services13 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
14 services14 patients

Other Providers at the Same Location NPPES 2

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

Counselor
2100 S TRIVIZ DR STE G
LAS CRUCES, NM 88001
Surgery
2100 S TRIVIZ DR STE G
LAS CRUCES, NM 88001

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 Justin Boland's NPI number?

The NPI number for Justin Boland is 1679096788. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Justin Boland located?

Justin Boland practices at 2100 S Triviz Dr Ste G, Las Cruces, NM 88001. The listed phone number is (575) 556-1849.

What is Justin Boland's specialty?

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

Is Justin Boland enrolled in Medicare?

Yes. Justin Boland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Justin Boland was last updated on August 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.