Alyssa M Bolander

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

311 Albert Sabin Way
Cincinnati, OH 45229-2838

Phone

(513) 558-9067

NPI assigned

Oct 19, 2022

Last updated

Jul 17, 2025By the provider in NPPES

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1508582685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 COLONEL GLENN HWY, 117 HEALTH SCIENCE BLDG.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45435",
            "telephone_number": "937-775-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-9067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Colonel Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454350002",
            "country_code": "US",
            "telephone_number": "937-775-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLANDER",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE TRUST SPONSORED STUDENT LIABILITY PROGRAM",
            "identifier": "48G74054535",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE TRUST OF SPONSORED STUDENT LIABILITY PROGRAM",
            "identifier": "48G74054535",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SchoolofProfessionalPsychology",
            "affiliation": "Y",
            "endpointDescription": "Wright State University School of Professional Pschology",
            "affiliationName": "Wright State University",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "School of Professional Psychology",
            "address_1": "3640 Colonel Glenn Hwy",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454350002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra W Bokulic, RPH
• Ronald E Bokulic, DO
• Lydia D Boland, PA-C
• Rachael E Boland, MD
• Tyler Boland, PHARMD
• Casey Bolanowski, CSW
• Kimberley Ann Bolden, MSW,LISW
• Kimberly Wayne Bolden
• Myran Bolden
• Stephanie Lashae Bolden, MSN, DNP, RN

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.