NPIMap

Organization Active NPI

Grounded Healing PLLC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1861074254
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GROUNDED HEALING PLLC
Practice address
917 W 18TH St Ste 203
Chicago, IL 60608-2400
Phone
(312) 620-5241
Fax
(312) 680-5655
NPI assigned
Apr 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Dr. Samantha Collazo, PSYDNPI 1568081172
Title
Clinical Psychologist
Phone
(312) 620-5241

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

917 W 18TH St Ste 203
Chicago, IL 60608-2400

Mailing address

917 W 18TH St Ste 203
Chicago, IL 60608-2400
Phone (312) 620-5241

National Provider Directory

National Provider Directory

Locations

917 W 18th St
Ste 203
Chicago, IL 60608
Phone (312) 496-3214

Practitioners & affiliated clinicians

Practitioners 3

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": "1619308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1861074254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W 18TH ST STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082400",
            "telephone_number": "312-620-5241",
            "fax_number": "312-680-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W 18TH ST STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082400",
            "telephone_number": "312-620-5241",
            "fax_number": "312-680-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-25",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-620-5241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.