Active NPI
Depth Psychological Services
- Psychologist
- Charlotte, NC
National Provider Identifier
1487517876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Siegel, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.
-
- Psychologist
- Charlotte, NC
- NPI 1376118117
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.