Individual provider Active NPI

James Brew McKenzie

  • Child & Adolescent Psychiatry Physician
  • Cambridge, MA
National Provider Identifier
1386952299
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4309 Issued in TN
Practice address
1439 Cambridge St
Cambridge, MA 02139-1106
Phone
(617) 665-1187
Fax
(617) 665-3449
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 277675 MA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 4309 TN Primary

Addresses

Primary practice location

1439 Cambridge St
Cambridge, MA 02139-1106

Mailing address

210 25TH Ave N Ste 1220
Nashville, TN 37203-1640
Phone (615) 669-3579

Other practice location 1

700 Massachusetts Ave Fl 3
Cambridge, MA 02139-3345
Phone (888) 500-2067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210802003238 TN Practitioner - Psychiatry 2365745148 Reassigns benefits to 2 organizations
I20260416000389 MA Practitioner - Psychiatry 2365745148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Massachusetts Ave
FL 3
Cambridge, MA 02139-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
277675MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College Multi-Specialty CurrentSince Aug 14, 2021 Accepting new patients
Iac Associates PLLC Multi-Specialty CurrentSince Jul 30, 2024 Accepting new patients
Cartwheel Health Services PC Multi-Specialty Past Accepting new patients

Locations

6401 Poplar Ave
Ste 500
Memphis, TN 38119
Phone (901) 422-8191

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

2000 Richard Jones Rd
Ste 100
Nashville, TN 37215
Phone (615) 610-0900

6101 W Plano Pkwy
Ste 230
Plano, TX 75093
Phone (469) 613-3390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1386952299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 1220",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031640",
            "telephone_number": "615-669-3579",
            "fax_number": "615-622-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391106",
            "telephone_number": "617-665-1187",
            "fax_number": "617-665-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Massachusetts Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021393345",
            "country_code": "US",
            "telephone_number": "888-500-2067",
            "fax_number": "617-649-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JAMES",
        "middle_name": "BREW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "277675",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "4309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.