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DR. CHARDONNAY NICOLE POOLE PSY.D.
NPI 1366793309
Psychologist - Forensic in Austin, TX

Active since October 01, 2012PECOS Enrolled
2222 WESTERN TRAILS BLVD STE 202, AUSTIN, TX 78745(512) 448-3221 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Chardonnay Nicole Poole Psy.d. NPPES

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

DR. CHARDONNAY NICOLE POOLE PSY.D. (NPI 1366793309) is an individual forensic provider in Austin, Texas, licensed in Texas (36008) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366793309
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameDR. CHARDONNAY NICOLE POOLECredential: PSY.D.
Location Address2222 WESTERN TRAILS BLVD STE 202Austin, TX 78745-1647
Mailing Address2222 Western Trails Blvd Ste 202Austin, TX 78745-1647 · (512) 448-3221
Phone(512) 448-3221
Sole ProprietorYes
Enumeration DateOctober 1, 2012
Last NPPES UpdateFebruary 10, 2020
✔ NPI 1366793309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in TX · 36008
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
2222 WESTERN TRAILS BLVD STE 202, Austin, TX 78745
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chardonnay Nicole Poole Psy.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 2

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

MARIA PASQUALETTI PSY.D.
Psychologist (Clinical)
2222 WESTERN TRAILS BLVD STE 202
AUSTIN, TX 78745
Travis County (512) 448-3221
SPRAGGINS PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
2222 WESTERN TRAILS BLVD STE 202
AUSTIN, TX 78745
Travis County (512) 448-3221

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 Chardonnay Poole's NPI number?

The NPI number for Chardonnay Poole is 1366793309. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Chardonnay Poole located?

Chardonnay Poole practices at 2222 Western Trails Blvd Ste 202, Austin, TX 78745. The listed phone number is (512) 448-3221.

What is Chardonnay Poole's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Chardonnay Poole enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Chardonnay Poole was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.