Leslie K Poulos, PSYD, HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.022302 Issued in IL

Practice address

2010 N Damen Ave Unit F
Chicago, IL 60647-3286

Phone

(773) 887-6447

NPI assigned

Aug 13, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1063398238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 OLCOTT AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232044",
            "telephone_number": "219-616-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473286",
            "telephone_number": "773-887-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOS",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "PSYD, HSPP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043979B",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.022302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Z Poulakis, DPT
• Alexandria Thiel Poulos, DNP, CRNA,, BSN, RN,
• Diep Nguyen Poulos
• James Poulos, DDS
• Kayla Poulos, LSW
• Nicholas James Poulos, DDS
• Petroula Poulos
• Tamar Pounardjian, MD
• Steffany Poupart, M.D.
• Nicole R Pouppirt, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.