Active NPI
Brandon Michael Lipin, PSY.D., MSCP, CADC
- Clinical Psychologist
- Lake Zurich, IL
National Provider Identifier
1306348016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.021047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35368 | Other | IL | IAODAPCA |
| 071.021047 | Other | IL | ILLINOIS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35368 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 071.021047 | IL | MD | Clinical 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.