Active NPI
Xenia Johnson Bhembe, MD
- Psychiatry Physician
- Brookline, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 158221
- Practice address
- 1 Brookline PL Ste 502
Brookline, MA 02445-7277 - Phone
- (617) 690-2011
- Fax
- (888) 312-9236
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 158221 | MA | |
| Psychiatry Physician | 2084P0800X | 158221 | MA | Primary |
Addresses
Primary practice location
1 Brookline PL Ste 502
Brookline, MA 02445-7277
Mailing address
PO Box 870261
Milton Village, MA 02187-0261
Phone (617) 690-2011
Other practice location 1
34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090
Other practice location 2
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1486
Other names 1
- Xenia Johnson Bhembe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158221 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Greater Lawrence Family Health Center, Inc. | Current | Accepting new patients | |
| Greater Lawrence Family Health Center Inc | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| The Counseling Center of Child Development, in | Past | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
34 Haverhill St
Lawrence, MA 01841
150 Park St
Lawrence, MA 01841
Phone (978) 685-1770
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
Interoperability endpoints
- xenia.johnson.bhembe.1@23857.direct.athenahealth.com
- xjohnson10716@direct.challiance.masshiway.net
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Lawrence, MA
- NPI 1699774646
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Clinic/Center
- Cambridge, MA
- NPI 1306908405
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Federally Qualified Health Center (FQHC)
- Haverhill, MA
- NPI 1003437344
-
- Clinical Social Worker
- Medford, MA
- NPI 1518164508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1831256379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 870261",
"city": "MILTON VILLAGE",
"state": "MA",
"postal_code": "021870261",
"telephone_number": "617-690-2011",
"fax_number": "888-312-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKLINE PL STE 502",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457277",
"telephone_number": "617-690-2011",
"fax_number": "888-312-9236"
}
],
"practiceLocations": [
{
"address_1": "34 Haverhill St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018412884",
"country_code": "US",
"telephone_number": "978-686-0090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1493 Cambridge St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021391047",
"country_code": "US",
"telephone_number": "617-665-1486",
"fax_number": "617-665-1973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON BHEMBE",
"first_name": "XENIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "158221",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "158221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "XENIA",
"last_name": "JOHNSON BHEMBE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.