Dr Justin Boland, PHD | |
2100 S Triviz Dr Ste G, Las Cruces, NM 88001-0601 | |
(575) 556-1849 | |
(575) 532-2030 |
Full Name | Dr Justin Boland |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 9 Years |
Location | 2100 S Triviz Dr Ste G, Las Cruces, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679096788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1429 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Las Cruces Physician Practices, Llc | 7618974858 | 81 |
Entity Name | Las Cruces Physician Practices, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Boland, PHD 4577 Northwind Rd, Las Cruces, NM 88007-4531 Ph: (650) 303-9102 | Dr Justin Boland, PHD 2100 S Triviz Dr Ste G, Las Cruces, NM 88001-0601 Ph: (575) 556-1849 |
Mr. Jeremy James Baldillez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3100 Oak St, Las Cruces, NM 88005 Phone: 575-323-3354 Fax: 575-523-3354 | |
Dr. Corey J Vas, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 741 N Alameda Blvd Ste 6, Las Cruces, NM 88005 Phone: 575-496-2616 Fax: 575-571-4483 | |
Lisa S Peterson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 249, Las Cruces, NM 88001 Phone: 515-527-5884 | |
Kay E. Ennis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2800 Nieve Ln, Las Cruces, NM 88005 Phone: 575-640-7022 | |
Jean Norwood, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Dr. Margaret Dorothy Collins, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 249, Las Cruces, NM 88001 Phone: 505-527-5823 Fax: 505-527-5886 | |
Mr. Jeffrey Mark Schwehn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4421 Los Arboles Dr, Las Cruces, NM 88011 Phone: 505-522-1217 |