Stapleton Psychological Services · Psychologist

423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968

Overview

Stapleton Psychological Services is a Psychologist (organization) practicing in Grand Rapids, Minnesota. The National Provider Identifier (NPI) is #1104205319, which was assigned on May 20, 2015, and the registration record was last updated on September 15, 2025. The practitioner's main practice location is at 423 Ne 4th St Ste 2, Grand Rapids, MN 55744-2968; the contact telephone number is 2183265694, and the fax number is 2183265313. The primary taxonomy of Stapleton Psychological Services is Psychologist (103T00000X). The authorized official for Stapleton Psychological Services is Mr. Kenneth L. Stapleton (Owner, Operator). Stapleton Psychological Services is licensed to practice in the state of Minnesota (#LP3021).

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Provider Information

NPI 1104205319
Entity Type Organization
Organization Name STAPLETON PSYCHOLOGICAL SERVICES
Provider Name STAPLETON PSYCHOLOGICAL SERVICES
Practice Address 423 Ne 4th St Ste 2
Grand Rapids
MN 55744-2968
Practice Telephone 2183265694
Practice Fax Number 2183265313
Mailing Address 423 Ne 4th St Ste 2
Grand Rapids
MN 55744-2968
Mailing Telephone 2183265694
Mailing Fax Number 2183265313
Certification Date 2025-09-15
Enumeration Date 2015-05-20
Last Update Date 2025-09-15
Is Organization Subpart N

Authorized Official Information

Official Name MR. KENNETH L. STAPLETON
Official Title OWNER, OPERATOR
Telephone 2183265694

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103T00000XPsychologist193200000X MULTI-SPECIALTY GROUPLP3021MN

Taxonomy Information

Primary Taxonomy

Code 103T00000X
Taxonomy Psychologist
Classification Psychologist
Grouping Behavioral Health & Social Service Providers
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Location Information

Street Address 423 NE 4TH ST STE 2
City GRAND RAPIDS
State MN
Zip Code 55744-2968
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Stephanie Lyn Downing 801 Ne 4th St, Grand Rapids, MN 55744-3106Professional Counselor2025-03-27
Shari E. Aultman Dc 1007 Nw 4th St Ste B, Grand Rapids, MN 55744-2203Chiropractor2006-10-26
Daniel L Baker 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526Orthopaedic Surgery Physician2006-01-24
Lauren Elizabeth Flood Miley 801 Ne 4th St, Grand Rapids, MN 55744-3106Marriage & Family Therapist2017-09-19
Crystal Cecile Vilen 413 Se 13th St, Grand Rapids, MN 55744-0015Clinical Social Worker2025-05-08
Drusilea Donato 413 Se 13th St, Grand Rapids, MN 55744-0015Clinical Social Worker2024-06-17
Ellen S Teigland 25 Ne 3rd St, Grand Rapids, MN 55744-2742Psychologist2006-07-03
Renee' Marie Jore 717 Ne 4th St, Grand Rapids, MN 55744-3104Marriage & Family Therapist2007-01-16
Amy Catherine Glass 215 Se 2nd Ave, Grand Rapids, MN 55744-3615Psychiatric/Mental Health Nurse Practitioner2025-08-15
Healing Waters Counseling & Psychological Services PLLC 201 Nw 4th St Ste 3, Grand Rapids, MN 55744-2730Mental Health Counselor2025-07-16
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Jessica Stapleton 1401 Bridgewater Ln, Kingsport, TN 37660-4164Family Nurse Practitioner2022-09-19
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Donald R Stapleton 12862 Ky-180, Ashland, KY 41102Occupational Therapist2025-08-11
Laketra Stapleton 4201 N 90th St, Omaha, NE 68134-4136Personal Care Attendant2025-06-30
Traesha Stapleton 2620 Caldwell St, Omaha, NE 68131-1621Personal Care Attendant2025-10-08
Tamra R Stapleton Po Box 614, Ironton, OH 45638-0614Case Manager/Care Coordinator2025-08-28
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.