DR. MICHAEL A. ARCHER PSY.D.
NPI 1053518795
Psychologist - Clinical Child & Adolescent in Issaquah, WA

Q: What is Michael Archer's NPI number?

The NPI number for Michael Archer is 1053518795. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Michael Archer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: Is Michael Archer enrolled in Medicare?

No. Michael Archer has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Archer was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2007Opted out of Medicare · through Jan 1, 2027

1740 NW MAPLE ST, SUITE 210, ISSAQUAH, WA 98027(206) 992-9192(425) 427-2477 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael A. Archer Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL A. ARCHER PSY.D. (NPI 1053518795) is an individual clinical child & adolescent provider in Issaquah, Washington, licensed in Washington (PY 60063517) and active in the NPI registry since June 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053518795

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MICHAEL A. ARCHERCredential: PSY.D.

Location Address1740 NW MAPLE ST, SUITE 210Issaquah, WA 98027-8127

Mailing Address29302 Ne 16th PlCarnation, WA 98014-9644 · (206) 992-9192

Phone(206) 992-9192

Fax(425) 427-2477

Sole ProprietorNo

Enumeration DateJune 27, 2007

Last NPPES UpdateAugust 17, 2016

✔ NPI 1053518795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in WA · PY 60063517

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PY 60063517 (WA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY 60063517 (WA)

1740 NW MAPLE ST, Issaquah, WA 98027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael A. Archer Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA E TAPP L.M.T.

Massage Therapist

1740 NW MAPLE ST, 111
ISSAQUAH, WA 98027

King County (425) 394-1200

DR. IGOR URITSKIY MD

Physical Medicine & Rehabilitation

1740 NW MAPLE ST, STE 111
ISSAQUAH, WA 98027

King County (425) 394-1200

LEAH GOLDBERG LMP

Massage Therapist

1740 NW MAPLE ST, SUITE 100
ISSAQUAH, WA 98027

King County (425) 394-1200

DR. KEVIN ANDREW BERRY MD

Physical Medicine & Rehabilitation

1740 NW MAPLE ST, SUITE 111
ISSAQUAH, WA 98027

King County (425) 394-1200

DR. SARA ELISABETH TAPSAK PSY.D.

Psychologist (Clinical Child & Adolescent)

1740 NW MAPLE ST, SUITE 210
ISSAQUAH, WA 98027

King County (206) 659-9393

TOMMY L LOVE DO

Emergency Medicine (Undersea and Hyperbaric Medicine)

1740 NW MAPLE ST, STE 100
ISSAQUAH, WA 98027

King County (425) 313-4800

DR. VALERIE HEWELL PH.D.

Psychologist (Clinical)

1740 NW MAPLE ST, STE 210
ISSAQUAH, WA 98027

King County (425) 523-6896

MS. SALLY DEANE BLISS PH.D

Psychologist (Clinical)

1740 NW MAPLE ST, STE. 210
ISSAQUAH, WA 98027

King County (425) 625-6874

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Archer's NPI number?

The NPI number for Michael Archer is 1053518795. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Michael Archer located?

Michael Archer practices at 1740 NW Maple St Suite 210, Issaquah, WA 98027. The listed phone number is (206) 992-9192.

What is Michael Archer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michael Archer enrolled in Medicare?

No. Michael Archer has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Archer accept?

Health plans from PacificSource Health Plans list Michael Archer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Archer was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.