Eric L. Deitchman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0892 Issued in NC

Practice address

417 S Sharon Amity Rd
A
Charlotte, NC 28211-2868

Phone

(704) 364-0452

Fax

(704) 364-5481

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Kentucky College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1811048945

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deitchman Associates

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1427081793
  Medicare reassignment NPD Authorized official
• Charlotte Psychotherapy & Consultation Group

  • Forensic Psychologist
  • Charlotte, NC
  • NPI 1821027988

  Clinical

  NPD (past) Authorized official
• Tendercare Home Health Services, Inc.

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1811048945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235155177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 ASHEVILLE PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036054",
            "telephone_number": "704-344-0357",
            "fax_number": "704-364-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S SHARON AMITY RD",
            "address_2": "A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112868",
            "telephone_number": "704-364-0452",
            "fax_number": "704-364-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCHMAN",
        "first_name": "ERIC",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03421",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abrianna Dehamer
• Pejman Dehghani
• Christie Bryan Dehoff, FNP
• Victoria Mary Deiber, RPH
• Deitchman Associates
• Allison Dejarnatt, PMHNP-BC, ANP-BC
• Kerby Dejesus, BCBA, M. ED
• Taisha Dejesus
• Janet Marie Dejohn
• Arjay Alberto Del Rosario, PT

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.