SUSAN JANETTE POOLE PH.D.
NPI 1265578363
Psychologist in Tacoma, WA

Active since January 29, 2007PECOS Enrolled
5909 ORCHARD ST W, TACOMA, WA 98467(253) 475-6021(253) 474-1871 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Susan Janette Poole Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN JANETTE POOLE PH.D. (NPI 1265578363) is an individual psychologist in Tacoma, Washington, licensed in Washington (PY00002439) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265578363
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSAN JANETTE POOLECredential: PH.D.
Location Address5909 ORCHARD ST WTacoma, WA 98467-3824
Mailing Address3213 N 31st StTacoma, WA 98407-5901 · (253) 905-1882
Fax(253) 474-1871
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
NPI 1265578363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY00002439
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5909 ORCHARD ST W, Tacoma, WA 98467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Janette Poole Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist
5909 ORCHARD ST W
TACOMA, WA 98467
Psychologist (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Social Worker (Clinical)
5909 ORCHARD ST W
TACOMA, WA 98467
Counselor (Mental Health)
5909 ORCHARD ST W
TACOMA, WA 98467
Psychiatry & Neurology (Psychiatry)
5909 ORCHARD ST W
UNIVERSITY PLACE, WA 98467
Nurse Practitioner (Psychiatric/Mental Health)
5909 ORCHARD ST W
TACOMA, WA 98467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Poole's NPI number?

The NPI number for Susan Poole is 1265578363. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Susan Poole located?

Susan Poole practices at 5909 Orchard St W, Tacoma, WA 98467. The listed phone number is (253) 475-6021.

What is Susan Poole's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Poole enrolled in Medicare?

Yes. Susan Poole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Poole was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.