Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlotte Psychotherapy & Consultation Group

Organization Clinical Psychologist · NPI 1821027988

Charlotte Psychotherapy & Consultation Group is a Clinical Psychologist 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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