Intown Pediatric Behavioral Wellness LLC
NPI 1265895569ActiveOrganization· Psychologist, Clinical Child & Adolescent· Atlanta, GA
Psychologist, Clinical Child & Adolescent in Atlanta, Georgia, registered in NPPES in April 2016. The authorized official on file is Jennifer Lynn Poulos, PSY.D., Owner/Pediatric Psychologist.
Overview
| NPI | 1265895569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2016 |
| Last updated in NPPES | Apr 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | PSY003708 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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