DR. KENNETH JAY HEADEN (NPI# 1366654329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366654329 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JAY HEADEN |
| Credential | MD |
| Practice Address |
806 Summit Ave Greensboro NC 27405-7861 |
| Practice Telephone | 3364372354 |
| Practice Fax Number | 3362791226 |
| Mailing Telephone | 3364372354 |
| Mailing Fax Number | 3362791226 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9400266 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5917028 | 05 |
| Street Address |
806 SUMMIT AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-7861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992106520 | Innovating Nursing | In Home Supportive Care | 806 Summit Ave, Greensboro, NC 27405-7861 | 2014-09-15 |
| 1780935395 | Kenneth J Headen Md Pa | Community/Behavioral Health | 806 Summit Ave, 210a, Greensboro, NC 27405-7861 | 2012-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620604 | Associates In Intelligent Psychiatry Pllc | Psychiatry & Neurology | 806 Green Valley Rd Ste 200, Greensboro, NC 27408-7076 | 2019-03-29 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1639412695 | Alexander Arya Eksir | Psychiatry & Neurology | 3859 Battleground Ave Ste 202, Greensboro, NC 27410-9580 | 2013-03-28 |
| 1871817114 | Victor H Morcos | Psychiatry & Neurology | 57 Lands End Dr, Greensboro, NC 27408-3841 | 2010-03-16 |
| 1497943286 | Shamsher Singh Ahluwalia | Psychiatry & Neurology | 2211 W Meadowview Rd Ste 108, Greensboro, NC 27407-3408 | 2007-10-05 |
| 1386849313 | Uncg Psychology Clinic | Psychiatry & Neurology | 200 E. Northwood St., Suite 320, Greensboro, NC 27401 | 2007-06-19 |
| 1720110976 | Xaver Franz Hertle | Psychiatry & Neurology | 202 Rockford Road, Greensboro, NC 27408-5116 | 2007-03-12 |
| 1659435576 | Stephen Brian Sanders | Psychiatry & Neurology | 3 Centerview Dr, Suite 150, Greensboro, NC 27407 | 2006-12-22 |
| 1598850844 | Sbn Incorporated | Psychiatry & Neurology | 2401 S Side Blvd, Greensboro, NC 27406-3311 | 2006-10-03 |
| 1508967795 | Edward John Rhoads | Psychiatry & Neurology | 3807 Hazel Ln, Greensboro, NC 27408-3166 | 2006-09-26 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.