DR. CHARDONNAY NICOLE POOLE (NPI# 1366793309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366793309 |
| Entity Type | Individual |
| Full Name | DR. CHARDONNAY NICOLE POOLE |
| Credential | PSY.D. |
| Practice Address |
2222 Western Trails Blvd Ste 202 Austin TX 78745-1647 |
| Practice Telephone | 5124483221 |
| Mailing Telephone | 5124483221 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
36008 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2222 WESTERN TRAILS BLVD STE 202 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043522733 | Maria Pasqualetti | Psychologist | 2222 Western Trails Blvd Ste 202, Austin, TX 78745-1647 | 2010-07-09 |
| 1679965917 | Spraggins Psychological Services, Pllc | Psychologist | 2222 Western Trails Blvd Ste 202, Austin, TX 78745-1647 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942629035 | Blake Robert Harris | Psychologist | 11010 Domain Dr, Apt 11331, Austin, TX 78758-7711 | 2014-04-16 |
| 1972902740 | Celesta Harris | Psychologist | 11010 Domain Dr, #11331, Austin, TX 78758-7711 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044220 | Carl Normand Edwards | Psychologist | 4113 Sunflower Ln, Temple, TX 76502-4803 | 2018-05-27 |
| 1174983423 | Heather Nicole Twedell | Psychologist | 2770 Main St Ste 139, Frisco, TX 75033-4357 | 2016-02-29 |
| 1740551233 | Heather L Holder | Psychologist | 8627 Cinnamon Creek Dr Ste 601, San Antonio, TX 78240-1482 | 2012-01-16 |
| 1720101850 | Timothy James Proctor | Psychologist | 11882 Greenville Ave Ste 107, Dallas, TX 75243-3567 | 2007-04-06 |
| 1124140058 | Antoinette Rose Mcgarrahan | Psychologist | 12820 Hillcrest Rd Ste C125, Dallas, TX 75230-1526 | 2007-04-03 |
| 1689708125 | Marilyn Gayle Nobles | Psychologist | 2606 Presidio Dr Apt 4, Edinburg, TX 78539-3314 | 2007-03-15 |
| 1326180399 | Mary Alice Conroy | Psychologist | 794 Elkins Lk, Huntsville, TX 77340-7319 | 2007-02-13 |
| 1932111747 | Tim Branaman | Psychologist | 600 W Campbell Rd Ste 2, Richardson, TX 75080-3357 | 2006-08-12 |
| 1962918185 | Charlotte M. Kimmel | Psychologist | 2000 W 2nd Ave, Corsicana, TX 75110-2510 | 2017-12-26 |
| 1205365616 | David Edwin Mills Jr. | Psychologist | 1200 E. Brin Street, Terrell, TX 75161 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.