Stapleton Psychological Services PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3021 Issued in MN

Legal business name

STAPLETON PSYCHOLOGICAL SERVICES PC

Practice address

423 NE 4TH St Ste 2
Grand Rapids, MN 55744-2968

Phone

(218) 326-5694

Fax

(218) 326-5313

NPI assigned

May 20, 2015

Last updated

Feb 16, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth L. StapletonNPI 1598742140

Title

Owner, Operator

Phone

(218) 326-5694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth L. Stapleton, LP

  • Psychologist
  • Grand Rapids, MN
  • NPI 1598742140
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1104205319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NE 4TH ST STE 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442968",
            "telephone_number": "218-326-5694",
            "fax_number": "218-326-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NE 4TH ST STE 2",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442968",
            "telephone_number": "218-326-5694",
            "fax_number": "218-326-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAPLETON PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, OPERATOR",
        "authorized_official_telephone_number": "218-326-5694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Raymond Spenningsby, MD
• Abby Sperr, OD
• St Croix Hospice LLC (St Croix Hospice)
• Lisa Deette Staber, MD
• Mary Stager, LMFT
• Kenneth L. Stapleton, LP
• Julia Lynn Statsman, NP
• Stenlund Psychological Services LLC
• Bryan Jon Stenlund, M.S./L.P.
• Courtney Christine Stenzel

• Psychologist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.