Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randolph Scott Shipon, PHD, NCC, LPC

Individual provider Psychologist · NPI 1679716781

Dr. Randolph Scott Shipon, PHD, NCC, LPC is a Clinical Psychologist in Boonton, New Jersey. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Delaware, New Jersey and New York.

Years since qualifying
19
Licensed in
DE, NJ, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
NCC — National Certified Counselor
A counsellor certified by the NBCC.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

550 W Main St
Boonton, NJ 07005-1168
Phone: (215) 906-3967
Fax: (973) 300-1443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 35SI00473800 (NJ)
Psychologist Taxonomy 103T00000X · Licence 018363 (NY)
Psychologist Taxonomy 103T00000X · Licence B1-0000832 (DE)

Record details

NPI number1679716781
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , NCC , LPC
Sole proprietorYes
NPI enumeratedApril 20, 2009
Last updated in NPPESJanuary 20, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount