Elaine Meredith Boland, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSO18260 Issued in PA

Practice address

868 Haddon Ave Ste 22
Collingswood, NJ 08108-1943

Phone

(609) 200-0183

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Elaine Boland PHD LLC

  • Clinical Psychologist
  • Cherry Hill, NJ
  • NPI 1497540918
  NPD Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1477079374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WINDSOR DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 HADDON AVE STE 22",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081943",
            "telephone_number": "609-200-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "ELAINE",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PSO18260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berry Space Nutrition LLC
• Nadia Berry, RDN
• Juliet Caroline Bier
• Alexis Blandine, MS, RDN
• Blooming & Becoming Counseling LLC
• Alejandra Giselle Borensztein, MD
• Borough of Collingswood
• Sharon Boylan, LPC
• Kayla T Bradshaw, LCSW
• Melanie Brima, LCSW

• Clinical Psychologist in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.