Purple Clover Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PURPLE CLOVER RECOVERY

Practice address

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

Phone

(224) 475-1223

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Lipin, PSYDNPI 1306348016

Title

Program Director

Phone

(224) 475-1223

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

  • Clinical Psychologist
  • Lake Zurich, IL
  • NPI 1306348016
  Authorized official Same address or phone
• Erin Conway, PSYD, CADC, BCB, BCN

  • Clinical Neuropsychologist
  • Schaumburg, IL
  • NPI 1063899722
  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1548013121",
    "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": "224-475-1223"
        },
        {
            "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": "224-475-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CLOVER RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "LIPIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "224-475-1223",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauchuru Prasadarao, M.D.
• Prestige Wellbeing LLC
• Procare Dental Group, P.C. (Village Square Dentistry)
• Professional Rehabilitation Group (Physical Therapy Pain Relief Clinic)
• PSL Virtus WLZ Venture, LLC (Azpira Place of Lake Zurich)
• Rachel Quick, DPT
• Sanya Qureshi, PHARMD
• Yoshie Rabottini
• Radiology Reports Online, LLC
• Rci (WRS), LLC. (RUSH Physical Therapy)

• Substance Use Disorder Rehabilitation Clinic/Center in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.