Active NPI
Wellington Psychological Services, PC
- Clinical Psychologist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071007375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grace Palacio, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1396760187
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.