Edwin Reisfeld PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3748 Issued in NC

Legal business name

EDWIN REISFELD PHD PA

Doing business as

Eastside Counseling Center

Practice address

15720 John J Delaney Dr
Suite 300
Charlotte, NC 28277-3430

Phone

(704) 927-5881

Fax

(704) 944-3201

NPI assigned

May 9, 2007

Last updated

Aug 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edwin H Reisfeld, PHDNPI 1457340952

Title

Owner/Psychologist

Phone

(704) 927-5881

Specialties & licenses 1

Addresses

Other names 1

• Eastside Counseling Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin H. Reisfeld, PHD

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1457340952
  Authorized official Same address or phone

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1902010804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52511 WINCHESTER STREET",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29707",
            "telephone_number": "704-927-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 JOHN J DELANEY DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773430",
            "telephone_number": "704-927-5881",
            "fax_number": "704-944-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN REISFELD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "REISFELD",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "704-927-5881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly Marie Edwards
• Shyeisha Edwards
• Wanda Edwards
• Grace Edwardsen
• Edwin C. Bryson, III, DDS, PA
• Eelio, LLC (Charlotte Speaks)
• Efficient Care Services Inc.
• Alison Andrews Efird, FNP
• Mattie Elizabeth Efird
• Jennifer Marie Efune, M.A., LPCA

• 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 Aug 22, 2011; 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.