INTOWN PEDIATRIC BEHAVIORAL WELLNESS LLC
NPI 1265895569
Psychologist - Clinical Child & Adolescent in Atlanta, GA

Active since April 04, 2016
340 BOULEVARD NE, SUITE 345, ATLANTA, GA 30312(404) 653-0322(404) 653-0466 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Intown Pediatric Behavioral Wellness Llc NPPES

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

INTOWN PEDIATRIC BEHAVIORAL WELLNESS LLC (NPI 1265895569) is a healthcare organization registered as a clinical child & adolescent in Atlanta, Georgia and active in the NPI registry since April 2016. The organization lists Jennifer Lynn Poulos, Owner/pediatric Psychologist, as its authorized official.

NPPES Registry Identity

NPI1265895569
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameINTOWN PEDIATRIC BEHAVIORAL WELLNESS LLC
Location Address340 BOULEVARD NE, SUITE 345Atlanta, GA 30312-1273
Mailing Address1170 N Highland Ave Ne, B10Atlanta, GA 30306-3400 · (770) 656-1365 · Fax (404) 653-0466
Fax(404) 653-0466
Organization SubpartNo
Authorized OfficialJennifer Lynn PoulosOwner/pediatric Psychologist · (770) 656-1365
Enumeration DateApril 4, 2016
NPI 1265895569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in GA · PSY003708
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

340 BOULEVARD NE, Atlanta, GA 30312

Other Identifiers 1

Medicaid003139753AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
340 BOULEVARD NE
ATLANTA, GA 30312
Psychologist
340 BOULEVARD NE, SUITE 640
ATLANTA, GA 30312
Counselor (Professional)
340 BOULEVARD NE, SUITE 611
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 414
ATLANTA, GA 30312
Internal Medicine (Gastroenterology)
340 BOULEVARD NE, SUITE 145
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 324
ATLANTA, GA 30312
Internal Medicine
340 BOULEVARD NE, SUITE 441
ATLANTA, GA 30312
Pharmacist
340 BOULEVARD NE, STE 143
ATLANTA, GA 30312

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 Intown Pediatric Behavioral Wellness LLC's NPI number?

The NPI number for Intown Pediatric Behavioral Wellness LLC is 1265895569. It was assigned to this organization in the NPPES registry on April 4, 2016.

Where is Intown Pediatric Behavioral Wellness LLC located?

Intown Pediatric Behavioral Wellness LLC is located at 340 Boulevard NE Suite 345, Atlanta, GA 30312. The listed phone number is (404) 653-0322.

What is Intown Pediatric Behavioral Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

What insurance does Intown Pediatric Behavioral Wellness LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Intown Pediatric Behavioral Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intown Pediatric Behavioral Wellness LLC was last updated on April 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.