Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Charlotte Psychotherapy & Consultation Group

Organization Clinical Psychologist · NPI 1821027988

Charlotte Psychotherapy & Consultation Group provides Clinical Psychologist services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

417 S Sharon Amity Rd Ste A
Charlotte, NC 28211-2875
Phone: (704) 364-0452
Fax: (704) 364-5481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X · Licence 2061 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 892 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1074 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C003965 (NC)

Record details

NPI number1821027988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Deitchman — President · (704) 364-0452
NPI enumeratedJuly 1, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address417 S Sharon Amity Rd Ste A, Charlotte, NC 28211-2875

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