Arlene Archer, PSY.D.
Individual provider Active NPI Psychologist · Niles, MI
NPI 1558595488 · NPPES record last updated Aug 24, 2009
Key facts
- NPI
- 1558595488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6301014106 (GA)
- Practice address
- 205 Broadway St
Suite a
Niles, MI 49120-2778 - Phone
- (269) 683-8972
- Fax
- (269) 683-0449
- NPI assigned
- May 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014106 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haelan Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014106 | GA | Yes |
Addresses
Primary practice location
205 Broadway St
Suite a
Niles, MI 49120-2778
Mailing address
3848 Maple LN
Berrien Springs, MI 49103-9642
Phone (269) 240-3085
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.