Organization Active NPI

Wellington Psychological Services, PC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1730525148
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007375 Issued in IL
Legal business name
WELLINGTON PSYCHOLOGICAL SERVICES, PC
Practice address
1700 W Irving Park Rd Ste 112
Chicago, IL 60613-2559
Phone
(312) 402-0550
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Dr. Grace Palacio, PSYDNPI 1396760187
Title
Owner
Phone
(312) 402-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071007375 IL Primary

Addresses

Primary practice location

1700 W Irving Park Rd Ste 112
Chicago, IL 60613-2559

Mailing address

1700 W Irving Park Rd Ste 112
Chicago, IL 60613-2559
Phone (312) 402-0550

Other practice location 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130809000132 IL Part B Supplier - Clinic/Group Practice 1254573983 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

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

1700 W Irving Park Rd
Ste 112
Chicago, IL 60613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1730525148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132559",
            "telephone_number": "312-402-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132559",
            "telephone_number": "312-402-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 S Dearborn St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051838",
            "country_code": "US",
            "telephone_number": "312-402-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLINGTON PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-402-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.