Daubney M Boland, PHD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

0122 Issued in NM

Practice address

1635 S Don Roser Dr
Las Cruces, NM 88011-4550

Phone

(575) 636-2506

Fax

(575) 288-2691

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Daubney Boland Other name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inetmed RX2 Inc.Group PAC ID 2062796709, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inetmed RX2 Inc.

  • Prescribing (Medical) Psychologist
  • Las Cruces, NM
  • NPI 1487107363
  Medicare reassignment Care Compare group NPD
• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136
  Medicare reassignment NPD
• PHC Las Cruces Inc

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1942581202
  NPD
• PHC Las Cruces Inc.

  • Specialist
  • Las Cruces, NM
  • NPI 1497069397
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1144579632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 NORTHWIND RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074531",
            "telephone_number": "512-923-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S DON ROSER DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114550",
            "telephone_number": "575-636-2506",
            "fax_number": "575-288-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114731",
            "country_code": "US",
            "telephone_number": "575-259-3638",
            "fax_number": "855-538-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "DAUBNEY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0122",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10739831",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAUBNEY",
            "last_name": "BOLAND",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann Boden, LPCC
• Jennifer Bodisch
• Body Bella
• Judith Anne Boehmer, LPCC
• Sunjung Bok
• Justin Boland, PHD
• Natalie M Bolanos, OT
• Ruben Bolanos
• Benjamin J. Boldt
• Jonathan Boldt, LPCC

• Prescribing (Medical) Psychologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.