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Active NPI 1598742140 Individual Practitioner Male Practitioner

Kenneth L. Stapleton , LP

Psychologist • Grand Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Stapleton, LP is a certified Psychologist practicing in Grand Rapids, MN. With approximately 47 years of clinical experience since completing medical education in 1979, Kenneth Stapleton delivers high-quality medical care to the local community at 423 NE 4TH ST STE 2.

Kenneth Stapleton accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

423 Ne 4th St Ste 2

Grand Rapids, MN 557442968

Telephone 2183265694
Fax 2183265313
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grand Rapids, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
47 Yrs +6.5 yrs vs City Avg
City Avg: 40.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Grand Rapids, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stapleton (47 Years) 47 Yrs
Grand Rapids Specialty Average (40.5 Years) 40.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
796713600 (MN)
Commercial Insurance / Payer ID Npi2
1104205319 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 05, 2024

Registered at 423 NE 4TH ST STE 2, GRAND RAPIDS, MN 557442968 (Tel: 2183265694)

📍
Updated Business Mailing Address December 05, 2024

Registered at PO BOX 771, GRAND RAPIDS, MN 557440771 (Tel: 2183265694)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1601 GOLF COURSE RD, GRAND RAPIDS, MN 557448648 (Tel: 2183265000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1601 GOLF COURSE RD, GRAND RAPIDS, MN 557448648 (Tel: 2183265000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH STAPLETON, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP3021 in MN)

🟢
Initial NPI Registration & Enumeration December 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598742140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2005
Last Update: December 05, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 771

Grand Rapids, MN 557440771

Phone: 2183265694

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.