Joel C Archer

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0725021

Practice address

Wayne Behavioral Health Network
1519 Nye Rd
Lyons, NY 14489

Phone

(315) 946-7066

Fax

(315) 946-7066

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356473367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAYNE BEHAVIORAL HEALTH NETWORK",
            "address_2": "1519 NYE RD",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "14489",
            "telephone_number": "315-946-7066",
            "fax_number": "315-946-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JOEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "0725021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300072502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Abiuso
• Jacob Abraham, LMSW
• Odysseus Adamides Jr., M.D.
• John R Allard, MS IN ED
• Mary Pat Allen, FNP
• James Joseph Arena, LCSW R
• Janette M Aruck, BS, RN
• Deborah Frances Ball, MSW LCSWR
• Brittany Banks, CASAC
• Marianna Barbaro, CASAC-T

• Social Worker in Lyons, NY
• Providers in Lyons, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.