DR. KELLY MINNETTE BOLAND PHD
NPI 1932835618
Psychologist - Clinical Child & Adolescent in Saint Louis, MO

Q: What is Kelly Boland's NPI number?

The NPI number for Kelly Boland is 1932835618. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Q: What is Kelly Boland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Boland was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 26, 2022PECOS Enrolled

1 CHILDRENS PL # 3N14, SAINT LOUIS, MO 63110(314) 454-6069 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jul 26, 2022 (2 updates tracked since 2022).

On this page

About Dr. Kelly Minnette Boland Phd NPPES

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

DR. KELLY MINNETTE BOLAND PHD (NPI 1932835618) is an individual clinical child & adolescent provider in Saint Louis, Missouri and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932835618

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. KELLY MINNETTE BOLANDCredential: PHD

Location Address1 CHILDRENS PL # 3N14Saint Louis, MO 63110-1081

Mailing Address1 Childrens Pl # 3n14Saint Louis, MO 63110-1081 · (314) 454-6069

Phone(314) 454-6069

Sole ProprietorNo

Enumeration DateJuly 26, 2022

Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1932835618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1 CHILDRENS PL # 3N14, Saint Louis, MO 63110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Minnette Boland Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Boland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Louis Childrens Hospital

Same address

Adolescent and Children Mental Health

1 CHILDRENS PL
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
39 clinicians in this Medicare group

NPI 1710909486 (314) 454-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelly Boland's NPI number?

The NPI number for Kelly Boland is 1932835618. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Kelly Boland located?

Kelly Boland practices at 1 Childrens Pl # 3n14, Saint Louis, MO 63110. The listed phone number is (314) 454-6069.

What is Kelly Boland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Kelly Boland enrolled in Medicare?

Yes. Kelly Boland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Boland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Boland reassigns Medicare benefits to St. Louis Childrens Hospital (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Boland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Boland accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Kelly Boland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Boland was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.