Mr Richard Bruce Staples, CAGS, LMHC is a
Psychologist - School based in Peabody, Massachusetts. Mr Richard Bruce Staples is licensed to practice in Massachusetts (license number 289705) and his current practice location is
28 1/2 Peabody Sq, Peabody, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 815-1570.
NPI number for Mr Richard Bruce Staples is 1164454294 and his current mailing address is 8 Martinack Ave, Peabody, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164454294.
Healthcare Provider's Profile
Full Name | Mr Richard Bruce Staples |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 28 1/2 Peabody Sq, Peabody, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164454294
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Richard Bruce Staples such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164454294 | NPI | - | NPPES |
9412132 | Other | MA | PHCS PROVIDER ID NUMBER |
LM1224 | Other | MA | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 63 (Massachusetts) | Primary |
103TS0200X | Psychologist - School | 289705 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Bruce Staples is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Richard Bruce Staples, CAGS, LMHC 8 Martinack Ave, Peabody, MA 01960-6449 Ph: (978) 815-1570 | Mr Richard Bruce Staples, CAGS, LMHC 28 1/2 Peabody Sq, Peabody, MA 01960-5655 Ph: (978) 815-1570 |
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