Individual provider Active NPI

Brenda Sue Lepisto, PSY.D.

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1982655239
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003056 Issued in MI
Practice address
2 Hurley PLZ
Suite 212
Flint, MI 48503-5903
Phone
(810) 262-9682
Fax
(810) 276-7245
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 6301003056 MI Primary

Addresses

Primary practice location

2 Hurley PLZ
Suite 212
Flint, MI 48503-5903

Mailing address

1 Hurley PLZ
Suite 300 PFS West Campus
Flint, MI 48503-5902
Phone (810) 262-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20160426001086 MI Practitioner - Clinical Psychologist 1254315203 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
McLaren Greater Lansing Current Accepting new patients
McLaren Flint CurrentSince Dec 1, 2024 Accepting new patients
McLaren Greater Lansing Psychologist CurrentSince Dec 1, 2020 Accepting new patients
McLaren Greater Lansing CurrentSince Dec 1, 2020 Accepting new patients
Hurley Medical Center Clinical CurrentSince Mar 21, 2016 Accepting new patients
McLaren Flint Psychologist CurrentSince Dec 1, 2024 Accepting new patients
Hurley Medical Center CurrentSince Mar 21, 2016 Accepting new patients

Locations

G3230 Beecher Rd
Ste 1
Flint, MI 48532
Phone (810) 342-5620

2 Hurley Plz
Ste 212
Flint, MI 48503
Phone (810) 262-9080

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1 Hurley Plz
Ste 300
Flint, MI 48503

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750

3101 Discovery Dr
Ste 400
Lansing, MI 48910
Phone (517) 975-3750

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1982655239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "SUITE 300 PFS WEST CAMPUS",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-2320",
            "fax_number": "810-239-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HURLEY PLZ",
            "address_2": "SUITE 212",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035903",
            "telephone_number": "810-262-9682",
            "fax_number": "810-276-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPISTO",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.