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LESLIE K POULOS PSYD, HSPP
NPI 1063398238
Psychologist - Clinical in Chicago, IL

Active since August 13, 2025
2010 N DAMEN AVE UNIT F, CHICAGO, IL 60647(773) 887-6447 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leslie K Poulos Psyd, Hspp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE K POULOS PSYD, HSPP (NPI 1063398238) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.022302) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1063398238
Entity TypeIndividual
Primary Taxonomy103TC0700X
Provider Legal NameLESLIE K POULOSCredential: PSYD, HSPP
Location Address2010 N DAMEN AVE UNIT FChicago, IL 60647-3286
Mailing Address7230 Olcott AveHammond, IN 46323-2044 · (219) 616-3646
Phone(773) 887-6447
Sole ProprietorNo
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1063398238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IL · 071.022302✔ Licensed in IN · 20043979B
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2010 N DAMEN AVE UNIT F, Chicago, IL 60647
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA SINGER LSW
Social Worker
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647
Cook County (773) 887-6447
YARITZA VIDAURRE MSW
Social Worker
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647
Cook County (773) 887-6447
ACTIVATE HEALTHCARE
Clinic/Center (Medical Specialty)
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647
Cook County (708) 669-0430
ARACELI CHAIDEZ CANO
Counselor (Professional)
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647
Cook County (708) 692-1696
PATRICK THOMAS
Counselor (Mental Health)
2010 N DAMEN AVE UNIT F
CHICAGO, IL 60647
Cook County (773) 887-6447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Poulos's NPI number?

The NPI number for Leslie Poulos is 1063398238. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Leslie Poulos located?

Leslie Poulos practices at 2010 N Damen Ave Unit F, Chicago, IL 60647. The listed phone number is (773) 887-6447.

What is Leslie Poulos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Leslie Poulos was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.