NPIMap

Organization Active NPI

Colin Archer Theresa Archer Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pennington, NJ
National Provider Identifier
1689216558
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COLIN ARCHER THERESA ARCHER ENTERPRISES LLC
Doing business as
The Psychiatric Practitioner
Practice address
108 Straube Center Blvd Ste I-17
Pennington, NJ 08534-1448
Phone
(609) 751-6625
NPI assigned
Oct 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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

Authorized official

Name
Colin Archer, APN
Title
Managing Member
Phone
(609) 751-6625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

108 Straube Center Blvd Ste I-17
Pennington, NJ 08534-1448

Mailing address

108 Straube Center Blvd Ste I-17
Pennington, NJ 08534-1448
Phone (609) 751-6625

Other names 1

  • The Psychiatric Practitioner Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL colin@thepsychiatricpractitioner.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

108 Straube Center Blvd
Ste I17
Pennington, NJ 08534
Phone (609) 751-6625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570838400000",
    "number": "1689216558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STRAUBE CENTER BLVD STE I-17",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341448",
            "telephone_number": "609-751-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STRAUBE CENTER BLVD STE I-17",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341448",
            "telephone_number": "609-751-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN ARCHER THERESA ARCHER ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-10-12",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-751-6625",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "colin@thepsychiatricpractitioner.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Straube Center Blvd Ste I-17",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085341448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Psychiatric Practitioner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2019; 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.