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ERIC L. DEITCHMAN PH.D.
NPI 1235155177
Psychologist - Clinical in Charlotte, NC

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
417 S SHARON AMITY RD, A, CHARLOTTE, NC 28211(704) 364-0452(704) 364-5481 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric L. Deitchman Ph.d. NPPES

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

ERIC L. DEITCHMAN PH.D. (NPI 1235155177) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (0892) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1980).

NPPES Registry Identity

NPI1235155177
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameERIC L. DEITCHMANCredential: PH.D.
Location Address417 S SHARON AMITY RD, ACharlotte, NC 28211-2868
Mailing Address1824 Asheville PlCharlotte, NC 28203-6054 · (704) 344-0357 · Fax (704) 364-5481
Phone(704) 364-0452
Fax(704) 364-5481
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1980
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235155177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 0892
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
417 S SHARON AMITY RD, Charlotte, NC 28211
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Other Identifiers 2

Medicare ID-Type Unspecified2811095ANC
Other03421NC · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric L. Deitchman Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42299794
PECOS Enrollment IDI20040715001302
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JONATHAN WILLIS GOULD PH.D.
Psychologist (Forensic)
417 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 364-0452
DR. MELINDA SCHUESSLER HARPER PH.D.
Psychologist (Clinical)
417 S SHARON AMITY RD, SUITE A
CHARLOTTE, NC 28211
Mecklenburg County (704) 354-0452
DR. RANDOLPH CAREY WALL PH.D.
Psychologist (Clinical)
417 S SHARON AMITY RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 364-0452

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 Eric Deitchman's NPI number?

The NPI number for Eric Deitchman is 1235155177. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Eric Deitchman located?

Eric Deitchman practices at 417 S Sharon Amity Rd A, Charlotte, NC 28211. The listed phone number is (704) 364-0452.

What is Eric Deitchman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Eric Deitchman enrolled in Medicare?

Yes. Eric Deitchman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eric Deitchman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.