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DR. KENNETH JAY HEADEN MD
NPI 1366654329
Psychiatry & Neurology - Psychiatry in Greensboro, NC

Active since May 04, 2007
806 SUMMIT AVE, GREENSBORO, NC 27405(336) 437-2354(336) 279-1226 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Jay Headen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH JAY HEADEN MD (NPI 1366654329) is an individual psychiatry provider in Greensboro, North Carolina, licensed in North Carolina (9400266) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366654329
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KENNETH JAY HEADENCredential: MD
Location Address806 SUMMIT AVEGreensboro, NC 27405-7861
Mailing Address806 Summit AveGreensboro, NC 27405-7861 · (336) 437-2354 · Fax (336) 279-1226
Phone(336) 437-2354
Fax(336) 279-1226
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJune 29, 2015
✔ NPI 1366654329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 9400266
Definition
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.
806 SUMMIT AVE, Greensboro, NC 27405
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Other Identifiers 2

Medicaid5917028NC
Medicare UPING40600NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH J HEADEN MD PA
Community/Behavioral Health
806 SUMMIT AVE, 210A
GREENSBORO, NC 27405
Guilford County (336) 279-1227
INNOVATING NURSING
In Home Supportive Care
806 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (704) 456-8549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Headen's NPI number?

The NPI number for Kenneth Headen is 1366654329. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Kenneth Headen located?

Kenneth Headen practices at 806 Summit Ave, Greensboro, NC 27405. The listed phone number is (336) 437-2354.

What is Kenneth Headen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Headen was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.