Active NPI
Phillip James Archer, M.D.
- Child & Adolescent Psychiatry Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 4301070970
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070970 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Community Mental Health Authority | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| Easterseals Morc Health Care, Inc. | Psychiatry | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
MI
-
- Psychiatry Physician
- Auburn Hills, MI
- NPI 1376526616
MI, Psychiatry
-
- Community/Behavioral Health Agency
- Monroe, MI
- NPI 1245303890
MI
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
- Social Worker
- Westland, MI
- NPI 1821025347
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.