Chardonnay Nicole Poole, PSY.D.
NPI 1366793309ActiveIndividual· Psychologist, Forensic· Austin, TX
Psychologist, Forensic (PSY.D.) in Austin, Texas, licensed in TX, with an NPI issued in October 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366793309 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 1, 2012 |
| Last updated in NPPES | Feb 10, 2020 |
| Certified by provider | Feb 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | 36008 | TX |
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) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
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