Individual provider Active NPI

Lisa A Pinto, PSYD

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1053417097
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071004338 Issued in IL
Practice address
1288 Rickert Dr
Suite 300
Naperville, IL 60540-0951
Phone
(630) 416-6056
NPI assigned
Sep 16, 2006
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 071004338 IL Primary

Addresses

Primary practice location

1288 Rickert Dr
Suite 300
Naperville, IL 60540-0951

Mailing address

PO Box 387
Addison, IL 60101-0387
Phone (630) 258-3492

Other identifiers 1

IdentifierTypeStateIssuer
2204872OtherILBCBS PROVIDER NUMBER

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
I20070717000649 IL Practitioner - Clinical Psychologist 7810097086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 Park St
Suite 300
Naperville, IL 60563-8497
Phone (630) 416-6056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071004338ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy4Life LLC CurrentSince May 8, 2023 Accepting new patients
Naperville Clinical Associates LTD CurrentSince Jul 7, 2000 Accepting new patients
Lisa a Pinto PSYD PC Clinical CurrentSince Apr 1, 1991 Accepting new patients

Locations

1288 Rickert Dr
Ste 300
Naperville, IL 60540
Phone (630) 416-6056

1755 Park St
Ste 300
Naperville, IL 60563
Phone (630) 416-6056

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1053417097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601010387",
            "telephone_number": "630-258-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "SUITE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-416-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTO",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "2204872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.