Individual provider Active NPI

Richard J. Staples, PH.D.

  • Psychologist
  • Waterville, ME
National Provider Identifier
1932294782
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS365 Issued in ME
Practice address
32 College Ave
Suite 301
Waterville, ME 04901-6100
Phone
(207) 873-5227
Fax
(207) 872-6386
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS365 ME Primary

Addresses

Primary practice location

32 College Ave
Suite 301
Waterville, ME 04901-6100

Mailing address

PO Box 1451
Waterville, ME 04903-1451
Phone (207) 873-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000828 ME Practitioner - Clinical Psychologist 5496797367 Practice locations: Waterville, ME

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

29 Johnson Heights
Waterville, ME 04901-4905
Phone (207) 873-5227

32 College Ave
Suite 301
Waterville, ME 04901-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049031451",
            "telephone_number": "207-873-5227",
            "fax_number": "207-872-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COLLEGE AVE",
            "address_2": "SUITE 301",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016100",
            "telephone_number": "207-873-5227",
            "fax_number": "207-872-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.