OrganizationActive
Edwin Reisfeld PHD PA
NPI 1902010804 · Clinical Psychologist · Charlotte, NC
Provider details
- NPI number
- 1902010804
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Edwin Reisfeld, Owner/Psychologist(704) 927-5881
- License
- 3748 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15720 John J Delaney Dr
Suite 300
Charlotte, NC 28277-3430
Phone: (704) 927-5881
Fax: (704) 944-3201
Street-level locationGet directions
Mailing address
52511 Winchester Street
Fort Mill, SC 29707
Other names (DBA / former)
- Doing business as
- Eastside Counseling Center
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2011-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.