Active NPI
Charles Archer
- School Psychologist
- Zanesville, OH
National Provider Identifier
1164833646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- UA1015311
- Practice address
- 160 N 4TH St
Zanesville, OH 43701-3518 - Phone
- (740) 454-9751
- Fax
- (740) 455-4325
- NPI assigned
- May 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | UA1015311 | OH | Primary |
Addresses
Primary practice location
160 N 4TH St
Zanesville, OH 43701-3518
Mailing address
705 Orchard Hill Rd
Zanesville, OH 43701-1318
Phone (740) 588-5544
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 |
|---|---|---|---|
| UA1015311 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1164833646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 ORCHARD HILL RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011318",
"telephone_number": "740-588-5544",
"fax_number": "740-455-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N 4TH ST",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437013518",
"telephone_number": "740-454-9751",
"fax_number": "740-455-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "UA1015311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.