Organization Active NPI

Depth Psychological Services

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1487517876
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DEPTH PSYCHOLOGICAL SERVICES
Practice address
5960 Fairview Rd Ste 102
Charlotte, NC 28210-3111
Phone
(980) 701-4060
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Amy Siegel, PSY.D.NPI 1376118117
Title
Licensed Psychologist
Phone
(980) 701-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5960 Fairview Rd Ste 102
Charlotte, NC 28210-3111

Mailing address

5960 Fairview Rd Ste 102
Charlotte, NC 28210-3111
Phone (980) 701-4060

National Provider Directory

National Provider Directory

Locations

5960 Fairview Rd
Ste 102
Charlotte, NC 28210
Phone (980) 701-4060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1487517876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103111",
            "telephone_number": "980-701-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103111",
            "telephone_number": "980-701-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPTH PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "980-701-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.