Active NPI
Laura Lee Poole, PSY.D.
- Psychologist
- Wright Patterson Afb, OH
National Provider Identifier
1205894110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3739
- Practice address
- 4881 Sugar Maple Dr
88MDG/Sgohc
Wright Patterson Afb, OH 45433-5546 - Phone
- (937) 257-6877
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3739 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
88MDG/Sgohc
Wright Patterson Afb, OH 45433-5546
Mailing address
1106 Roger Scott Dr
Bellbrook, OH 45305-8942
Phone (937) 848-4253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3739 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205894110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 ROGER SCOTT DR",
"city": "BELLBROOK",
"state": "OH",
"postal_code": "453058942",
"telephone_number": "937-848-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"address_2": "88MDG/SGOHC",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335546",
"telephone_number": "937-257-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "LAURA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wright Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.