Healthcare Provider Details

I. General information

NPI: 1255257432
Provider Name (Legal Business Name): LIPIN PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S RAND RD STE 211
LAKE ZURICH IL
60047
US

IV. Provider business mailing address

2045 W GRAND AVE STE B
CHICAGO IL
60612-1577
US

V. Phone/Fax

Practice location:
  • Phone: 847-660-4946
  • Fax:
Mailing address:
  • Phone: 847-660-4946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON MICHAEL LPIN
Title or Position: OWNER
Credential: PSYD, MSCP
Phone: 847-337-2211