STAPLETON PSYCHOLOGICAL SERVICES PC
NPI 1104205319
Psychologist in Grand Rapids, MN
About Stapleton Psychological Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAPLETON PSYCHOLOGICAL SERVICES PC (NPI 1104205319) is a healthcare organization registered as a psychologist in Grand Rapids, Minnesota and active in the NPI registry since May 2015. The organization lists Kenneth L. Stapleton, Owner, Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stapleton Psychological Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stapleton Psychological Services PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stapleton Psychological Services PC's NPI number?
The NPI number for Stapleton Psychological Services PC is 1104205319. It was assigned to this organization in the NPPES registry on May 20, 2015.
Where is Stapleton Psychological Services PC located?
Stapleton Psychological Services PC is located at 423 NE 4th St Ste 2, Grand Rapids, MN 55744. The listed phone number is (218) 326-5694.
What is Stapleton Psychological Services PC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Stapleton Psychological Services PC enrolled in Medicare?
Yes. Stapleton Psychological Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stapleton Psychological Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stapleton Psychological Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stapleton Psychological Services PC accept?
Health plans from HealthPartners list Stapleton Psychological Services PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stapleton Psychological Services PC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.