Individual provider Active NPI

Xenia Johnson Bhembe, MD

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1831256379
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
158221 Issued in MA
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

Updated by the provider on Feb 3, 2023

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 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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000019 MA Practitioner - Psychiatry 6305976697 Reassigns benefits to 2 organizations

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
Greater Lawrence Family Health Center IncGroup PAC ID 0446221956, 118 clinicians

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

LicenseStateTypeSpecialty
158221MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Aug 16, 2000 Accepting new patients
Greater Lawrence Family Health Center, Inc. CurrentSince Jul 28, 2019 Accepting new patients
Greater Lawrence Family Health Center Inc CurrentSince Jul 28, 2019 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 16, 2000 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

  • Direct secure messaging: xenia.johnson.bhembe.1@23857.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.