Individual provider Active NPI

Jennifer Thim Oung Mathurin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, MA
National Provider Identifier
1073148540
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2318611 Issued in MA
Practice address
1660 Soldiers Field Rd Ste 71030
Brighton, MA 02135-1108
Phone
(401) 558-7091
Fax
(586) 204-0186
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2318611 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2318611 MA Primary
Internal Medicine Physician 207R00000X RN2318611 MA

Addresses

Primary practice location

1660 Soldiers Field Rd Ste 71030
Brighton, MA 02135-1108

Mailing address

1 Pearl St # 1600a
Brockton, MA 02301-2864

Other practice location 1

9 Centennial Dr Ste 219
Peabody, MA 01960-7939
Phone (781) 580-0371

Other practice location 2

1 Pearl St # 1600A
Brockton, MA 02301-2864
Phone (617) 924-6484

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913001489 MA Practitioner - Nurse Practitioner 5799181095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2318611MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Light Psychiatry and Wellness, PLLC Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 30, 2022 Accepting new patients
Boston Neurobehavioral Associates, LLC Internal Medicine CurrentSince Jul 29, 2023 Accepting new patients
Me Myself & Mind Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
#1600A
Brockton, MA 02301
Phone (508) 443-1082

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

63 Pleasant St
Watertown, MA 02472
Phone (617) 213-1335

Organizations & group practices 5

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1073148540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST # 1600A",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SOLDIERS FIELD RD STE 71030",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351108",
            "telephone_number": "401-558-7091",
            "fax_number": "586-204-0186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Centennial Dr Ste 219",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "MA",
            "postal_code": "019607939",
            "country_code": "US",
            "telephone_number": "781-580-0371",
            "fax_number": "617-500-3513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pearl St # 1600A",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023012864",
            "country_code": "US",
            "telephone_number": "617-924-6484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUNG MATHURIN",
        "first_name": "JENNIFER",
        "middle_name": "THIM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2318611",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2318611",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "RN2318611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.