Stapleton Psychological Services PC
NPI 1104205319 · Psychologist · Grand Rapids, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stapleton Psychological Services PC is a Psychologist organization in Grand Rapids, MN (NPI 1104205319).
Provider details
- NPI number
- 1104205319
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Stapleton, Owner, Operator(218) 326-5694
- License
- LP3021 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Stapleton Psychological Services PC's NPI number?
- Stapleton Psychological Services PC's National Provider Identifier (NPI) is 1104205319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stapleton Psychological Services PC?
- Stapleton Psychological Services PC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Stapleton Psychological Services PC located?
- Stapleton Psychological Services PC's practice location on file with NPPES is 423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968.
- What is Stapleton Psychological Services PC's phone number?
- The practice phone number listed in the NPPES registry for Stapleton Psychological Services PC is (218) 326-5694.
- Does Stapleton Psychological Services PC accept Medicare?
- Stapleton Psychological Services PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stapleton Psychological Services PC?
- The authorized official listed on Stapleton Psychological Services PC's NPPES record is Kenneth Stapleton, Owner, Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stapleton Psychological Services PC's NPI active?
- Yes — Stapleton Psychological Services PC's NPI (1104205319) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.