Burlington Psychiatry & Assoc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

9400266 Issued in NC

Legal business name

BURLINGTON PSYCHIATRY & ASSOC

Practice address

1710 Westbrook Ave
Burlington, NC 27215-8721

Phone

(336) 584-5255

Fax

(336) 584-5235

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Headen, MDNPI 1366654329

Title

Psychiatry

Phone

(336) 584-5255

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Jay Headen, MD

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1366654329
  NPD (past) Authorized official

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1598053399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158721",
            "telephone_number": "336-584-5255",
            "fax_number": "336-584-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158721",
            "telephone_number": "336-584-5255",
            "fax_number": "336-584-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON PSYCHIATRY & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "HEADEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHIATRY",
        "authorized_official_telephone_number": "336-584-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "9400266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burlington Medical Practice, PA
• Burlington Medical Supply LLC
• Burlington Orthopaedic and Hand Surgery PA
• Burlington Orthopaedic and Hand Surgery PA
• Burlington Pediatrics PA
• Burlington Psychiatry & Assoc. Inc
• Burlington Radiological Associates
• Burlington Surgical Associates PA
• Burlington Urological Associates, P.a.
• Sammie F Burnette, M.S., LPC

• Medical Specialty Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.