Russell L. Bolyard, PSY.D.
NPI 1073562997ActiveIndividual· Psychologist· Memphis, TN
Psychologist (PSY.D.) in Memphis, Tennessee, licensed in TN, with an NPI issued in May 2006.
Overview
| NPI | 1073562997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Apr 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | P00907 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Memphis
- 1740336445
- 1538307194
- 1124482005
- 1184625006
- 1437957669
- 1659794519
- 1285762880
- 1225137995
- 1851870778
- 1023660206
- 1609905793
- 1396765608