Deborah Victoria Kennedy-Ziegler, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5298 Issued in NC

Practice address

15720 Brixham Hill Ave Ste 150
Charlotte, NC 28277-4785

Phone

(704) 970-4791

Fax

(704) 970-4794

NPI assigned

May 10, 2018

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

Other names 1

• Victoria Kennedy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Southeastpsych Ballantyne, PLLC

  • Psychologist
  • Charlotte, NC
  • NPI 1902318249
  NPD (past)

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1922597459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774785",
            "telephone_number": "704-970-4791",
            "fax_number": "704-970-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774785",
            "telephone_number": "704-970-4791",
            "fax_number": "704-970-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-ZIEGLER",
        "first_name": "DEBORAH",
        "middle_name": "VICTORIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "KENNEDY",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hiwet Kendricks
• Katlyn Kendzierski, PT, DPT, NCS
• Kenitra C. Richardson, DMD, PLLC
• Jennifer Michalec Kennard, MD
• Allison Kennebeck, LMFTA
• Angela Kennedy, MSW
• Ann Douglas Kennedy, D.D.S
• Beth Ann Kennedy, LPC
• Bonnie M Kennedy, C.R.N.A.
• Carrie Frasure Kennedy, FNP

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.