EASTSIDE COUNSELING CENTER
NPI 1902010804
Psychologist - Clinical in Charlotte, NC

Active since May 09, 2007
15720 JOHN J DELANEY DR, SUITE 300, CHARLOTTE, NC 28277(704) 927-5881(704) 944-3201 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Counseling Center NPPES

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

EASTSIDE COUNSELING CENTER (NPI 1902010804) is a healthcare organization registered as a clinical in Charlotte, North Carolina and active in the NPI registry since May 2007. The organization lists Edwin H Reisfeld, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1902010804
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEDWIN REISFELD PHD PA
Location Address15720 JOHN J DELANEY DR, SUITE 300Charlotte, NC 28277-3430
Mailing Address52511 Winchester StreetFort Mill, SC 29707 · (704) 927-5881
Fax(704) 944-3201
Organization SubpartNo
Authorized OfficialEdwin H ReisfeldOwner/psychologist · (704) 927-5881
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2011
NPI 1902010804 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 · 3748
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.
15720 JOHN J DELANEY DR, Charlotte, NC 28277

Other Names 1

Doing Business AsEastside Counseling Center

Other Identifiers 2

Other2826004NC · Medicare Ptan
Other2826004ANC · Medicare Individual

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Adult Companion
15720 JOHN J DELANEY DR, SUITE376
CHARLOTTE, NC 28277
Psychologist (Clinical)
15720 JOHN J DELANEY DR, SUITE 300
CHARLOTTE, NC 28277
Dietitian, Registered
15720 JOHN J DELANEY DR
CHARLOTTE, NC 28277
Case Management
15720 JOHN J DELANEY DR
CHARLOTTE, NC 28277

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 Edwin Reisfeld Phd PA's NPI number?

The NPI number for Edwin Reisfeld Phd PA is 1902010804. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is doing business as Eastside Counseling Center.

Where is Edwin Reisfeld Phd PA located?

Edwin Reisfeld Phd PA is located at 15720 John J Delaney Dr Suite 300, Charlotte, NC 28277. The listed phone number is (704) 927-5881.

What is Edwin Reisfeld Phd PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Edwin Reisfeld Phd PA was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.