Active NPI
Richard Bruce Staples, CAGS, LMHC
- School Psychologist
- Peabody, MA
National Provider Identifier
1164454294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 289705
- Practice address
- 28 1/2 Peabody SQ
Peabody, MA 01960-5655 - Phone
- (978) 815-1570
- Fax
- (978) 531-6244
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63 | MA | |
| School Psychologist | 103TS0200X | 289705 | MA | Primary |
Addresses
Primary practice location
28 1/2 Peabody SQ
Peabody, MA 01960-5655
Mailing address
8 Martinack Ave
Peabody, MA 01960-6449
Phone (978) 815-1570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM1224 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 9412132 | Other | MA | PHCS PROVIDER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 | MA | MD | Mental Health Counselor |
| 289705 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164454294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MARTINACK AVE",
"city": "PEABODY",
"state": "MA",
"postal_code": "019606449",
"telephone_number": "978-815-1570",
"fax_number": "978-531-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 1/2 PEABODY SQ",
"city": "PEABODY",
"state": "MA",
"postal_code": "019605655",
"telephone_number": "978-815-1570",
"fax_number": "978-531-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "RICHARD",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "CAGS, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "63",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "289705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "LM1224",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PROVIDER ID NUMBER",
"identifier": "9412132",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.