Organization Active NPI

Elaine Boland PHD LLC

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1497540918
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ELAINE BOLAND PHD LLC
Practice address
414 Windsor Dr
Cherry Hill, NJ 08002-2542
Phone
(609) 200-0183
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Elaine Meredith Boland, PHDNPI 1477079374
Title
Owner
Phone
(609) 200-0183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

414 Windsor Dr
Cherry Hill, NJ 08002-2542

Mailing address

868 Haddon Ave Ste 22
Collingswood, NJ 08108-1943
Phone (609) 200-0183

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1497540918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 HADDON AVE STE 22",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081943",
            "telephone_number": "609-200-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WINDSOR DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022542",
            "telephone_number": "609-200-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE BOLAND PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-200-0183",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.