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Active NPI 1366793309 Individual Practitioner Female Practitioner

Dr. Chardonnay Nicole Poole , PsyD

Psychologist - Forensic • Austin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Chardonnay Poole, PsyD is a registered healthcare professional specializing in Psychologist - Forensic in Austin, TX. Practice services are available at 2222 WESTERN TRAILS BLVD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2222 Western Trails Blvd Ste 202

Austin, TX 787451647

Telephone 5124483221
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Austin, TX (37 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-10
Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License TX 36008

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Maria Pasqualetti , PsyD

Psychologist - Clinical

NPI 1043522733

Doctor of Psychology (Psy.D.)

Dr. Andrea Spraggins , PhD

Psychologist - Counseling

NPI 1487954293

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 10, 2020

Registered at 2222 WESTERN TRAILS BLVD STE 202, AUSTIN, TX 787451647 (Tel: 5124483221)

📍
Updated Business Mailing Address February 10, 2020

Registered at 2222 WESTERN TRAILS BLVD STE 202, AUSTIN, TX 787451647 (Tel: 5124483221)

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 7703 N LAMAR BLVD, SUITE 110, AUSTIN, TX 787521027 (Tel: 5126595330)

📍
Updated Business Mailing Address October 01, 2012

Registered at 7703 N LAMAR BLVD, SUITE 110, AUSTIN, TX 787521027 (Tel: 5126595330)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as CHARDONNAY POOLE, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Psychologist (License #36008 in TX)

🟢
Initial NPI Registration & Enumeration October 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366793309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2012
Last Update: February 10, 2020
Sole Proprietor: Yes

Mailing Address

2222 Western Trails Blvd Ste 202

Austin, TX 787451647

Phone: 5124483221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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