Provider Demographics
NPI:1538243514
Name:FEATHER, JONATHAN B (PSYD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:B
Last Name:FEATHER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5970 FAIRVIEW PLAZA ROAD
Mailing Address - Street 2:SUITE 575
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3167
Mailing Address - Country:US
Mailing Address - Phone:704-650-8159
Mailing Address - Fax:704-552-7550
Practice Address - Street 1:5970 FAIRVIEW PLAZA ROAD
Practice Address - Street 2:SUITE 575
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3167
Practice Address - Country:US
Practice Address - Phone:704-650-8159
Practice Address - Fax:704-552-7550
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1812103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0323VOtherBCBS
NC6000069Medicaid
NC6000069Medicaid