Individual provider Active NPI

Brandon Michael Lipin, PSY.D., MSCP, CADC

  • Clinical Psychologist
  • Lake Zurich, IL
National Provider Identifier
1306348016
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.021047 Issued in IL
Practice address
444 S Rand Rd Ste 211
Lake Zurich, IL 60047-2307
Phone
(847) 660-4946
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.021047 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 35368 IL

Addresses

Primary practice location

444 S Rand Rd Ste 211
Lake Zurich, IL 60047-2307

Mailing address

444 S Rand Rd Ste 211
Lake Zurich, IL 60047-2307
Phone (847) 660-4946

Other identifiers 2

IdentifierTypeStateIssuer
35368OtherILIAODAPCA
071.021047OtherILILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35368ILMDAddiction (Substance Use Disorder) Counselor
071.021047ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1306348016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S RAND RD STE 211",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472307",
            "telephone_number": "847-660-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S RAND RD STE 211",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472307",
            "telephone_number": "847-660-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPIN",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MSCP, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.021047",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IAODAPCA",
            "identifier": "35368",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION",
            "identifier": "071.021047",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; 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.