Jennifer Lynn Poulos, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY003708 Issued in GA

Practice address

1718 Peachtree St NW Ste 496
Atlanta, GA 30309-2469

Phone

(404) 476-3535

Fax

(404) 254-4263

NPI assigned

Sep 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intown Pediatric Behavioral Wellness LLC

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
  • NPI 1265895569
  NPD (past) Authorized official
• Rafati Psych LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1134906779
  NPD (past)

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1063846509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW STE 496",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092469",
            "telephone_number": "404-476-3535",
            "fax_number": "404-254-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PEACHTREE ST NW STE 496",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092469",
            "telephone_number": "404-476-3535",
            "fax_number": "404-254-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Paige Potts, PT, DPT
• Stephanie Marie Pouch, M.D., M.S.
• Christien Angel Poulaille
• Katherine Erwin Pouliot
• Zachary Leo Pouliot, PTA
• Orthodoxia Poulos
• Jamiee Pouncey, RN
• Angenea S Pounds, DC
• Evi-Luise Pover
• Ebony Chantel Powe

• Clinical Child & Adolescent Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.