Healthcare Provider Details

I. General information

NPI: 1215891130
Provider Name (Legal Business Name): JONATHAN FEATHER, PSYD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5970 FAIRVIEW RD # 575
CHARLOTTE NC
28210-3167
US

IV. Provider business mailing address

10802 CHAMBERLAIN HALL CT
CHARLOTTE NC
28277-1768
US

V. Phone/Fax

Practice location:
  • Phone: 704-499-9700
  • Fax: 704-499-9555
Mailing address:
  • Phone: 704-650-8159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN FEATHER
Title or Position: OWNER/PSYCHOLOGIST
Credential: PSYD
Phone: 704-650-8159