Bianca Kdeiss, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

301 E Wendover Ave
Greensboro, NC 27401-1230

Phone

(336) 832-3070

NPI assigned

Jul 20, 2024

Reactivated

Dec 17, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1427095249
  Medicare reassignment Care Compare group NPD
• Moses Cone Medical Services, Inc.

  dba Western Rockingham Family Medicine

  • Family Medicine Physician
  • Madison, NC
  • NPI 1629376363
  NPD
• Moses Cone Affiliated Physicians, Inc.

  dba Gynecology Center of Greensboro

  • Gynecology Physician
  • Greensboro, NC
  • NPI 1417610627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1487492682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011230",
            "telephone_number": "336-832-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KDEISS",
        "first_name": "BIANCA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "deactivation_date": "2024-11-18",
        "reactivation_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie E Kausch, LPC, NCC
• Cassandra Kavuri, MD
• Kay's Home Care LLC
• Octave M Kayanda, PH.T
• Hannah Jeanne Kaye, LCSW
• Susan Phillips Keane, PH.D.
• Thomas G Keane, PH.D.
• Kevin A Keating, DDS
• Rosh Ann Keating, LCSW
• Thomas J Kebba, MA

• Clinical Neuropsychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.