Gregory Archer, PSY.D.

Individual provider Active NPI Clinical Psychologist · Fountain Hills, AZ

NPI 1992922652 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992922652
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
1101 (AZ)
Practice address
15142 E Marathon Dr
Fountain Hills, AZ 85268-1308
Phone
(602) 997-1627
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1101AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helene Wechsler, MD,PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1101 AZ Yes

Addresses

Primary practice location

15142 E Marathon Dr
Fountain Hills, AZ 85268-1308

Mailing address

15142 E Marathon Dr
Fountain Hills, AZ 85268-1308

Other providers in Fountain Hills, AZ

All providers in Fountain Hills, AZ · Clinical Psychologist in Arizona

Sources for this page

Verify at the official NPI Registry.