Individual provider Active NPI

Phillip James Archer, M.D.

  • Child & Adolescent Psychiatry Physician
  • Southfield, MI
National Provider Identifier
1487780672
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301070970 Issued in MI
Practice address
19785 W 12 Mile Rd # 481
Southfield, MI 48076-2543
Phone
(248) 894-0980
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4301070970 MI Primary

Addresses

Primary practice location

19785 W 12 Mile Rd # 481
Southfield, MI 48076-2543

Mailing address

19785 W 12 Mile Rd # 481
Southfield, MI 48076-2543
Phone (248) 894-0980

Other practice location 1

1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone (734) 243-7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000703 MI Practitioner - Psychiatry 7719978790 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301070970MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Community Mental Health Authority CurrentSince Jan 3, 2026 Accepting new patients
County of Macomb CurrentSince Oct 14, 2024 Accepting new patients
County of Macomb CurrentSince Oct 14, 2024 Accepting new patients
Easterseals Morc Health Care, Inc. Psychiatry CurrentSince Sep 21, 2024 Accepting new patients
Apex Behavioral Health,PLLC Past Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

1001 S Raisinville Rd
Monroe, MI 48161
Phone (734) 243-7340

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

12200 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 573-1810

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1487780672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 481",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762543",
            "telephone_number": "248-894-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 481",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762543",
            "telephone_number": "248-894-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Raisinville Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481619754",
            "country_code": "US",
            "telephone_number": "734-243-7340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "PHILLIP",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301070970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.