Individual provider Active NPI

Grace Palacio, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1396760187
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007375 Issued in IL
Practice address
730 S Dearborn St
Chicago, IL 60605-1838
Phone
(312) 402-0550
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.007375 IL Primary

Addresses

Primary practice location

730 S Dearborn St
Chicago, IL 60605-1838

Mailing address

730 S Dearborn St
Chicago, IL 60605-1838
Phone (312) 402-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000751 IL Practitioner - Clinical Psychologist 2860599982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

730 S Dearborn St
Chicago, IL 60605-1838
Phone (312) 588-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.007375ILMDClinical Psychologist
016599NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellington Psychological Services, PC Clinical CurrentSince Jun 19, 2013 Accepting new patients
Cognitive Care Counseling, PLLC Past Accepting new patients
Aspen Behavioral Care Clinical PastSince Jul 31, 2013 Accepting new patients

Locations

730 S Dearborn St
Chicago, IL 60605
Phone (312) 402-0550

836 W Wellington Ave
Unit 331
Chicago, IL 60657

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

Interoperability endpoints

  • Direct secure messaging: gpalacio275967@direct.myadvocateaurora.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1396760187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-402-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-402-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.