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DR. SAMANTHA C COLLAZO PSY.D.
NPI 1568081172
Psychologist - Clinical in Chicago, IL

Active since April 14, 2020
917 W 18TH ST STE 203, CHICAGO, IL 60608(312) 620-5241 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Apr 14, 2020 (2 updates tracked since 2020).

About Dr. Samantha C Collazo Psy.d. NPPES

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

DR. SAMANTHA C COLLAZO PSY.D. (NPI 1568081172) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071010278) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1568081172
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMANTHA C COLLAZOCredential: PSY.D.
Location Address917 W 18TH ST STE 203Chicago, IL 60608-2400
Mailing Address1516 W 18th Pl # 1rChicago, IL 60608-2802 · (312) 420-4316
Phone(312) 620-5241
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1568081172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071010278
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
917 W 18TH ST STE 203, Chicago, IL 60608
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Other Providers at the Same Location NPPES 2

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

JAYLAN O ABD ELRAHMAN PHD, LCP
Psychologist (Clinical)
917 W 18TH ST STE 203
CHICAGO, IL 60608
Cook County (312) 620-5241
GROUNDED HEALING PLLC
Psychologist
917 W 18TH ST STE 203
CHICAGO, IL 60608
Cook County (312) 620-5241

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 Samantha Collazo's NPI number?

The NPI number for Samantha Collazo is 1568081172. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Samantha Collazo located?

Samantha Collazo practices at 917 W 18th St Ste 203, Chicago, IL 60608. The listed phone number is (312) 620-5241.

What is Samantha Collazo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Samantha Collazo was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.