Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth L. Stapleton, LP

Individual provider Psychologist · NPI 1598742140

Kenneth L. Stapleton, LP is a Clinical Psychologist in Grand Rapids, Minnesota. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
47
Licensed in
MN
In the registry since
2005
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Practice location Address checks out

423 NE 4th St Ste 2
Grand Rapids, MN 55744-2968
Phone: (218) 326-5694
Fax: (218) 326-5313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP3021 (MN)

Record details

NPI number1598742140
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedDecember 26, 2005
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing addressPo Box 771, Grand Rapids, MN 55744-0771

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids