Individual provider Active NPI

Jaeyoung Han, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brookline, MA
National Provider Identifier
1881296556
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2276327 Issued in MA
Practice address
1101 Beacon St Ste 8W
Brookline, MA 02446-5587
Phone
(617) 855-7288
NPI assigned
Nov 9, 2020
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2276327 MA Primary

Addresses

Primary practice location

1101 Beacon St Ste 8W
Brookline, MA 02446-5587

Mailing address

43 Gerry Rd
Chestnut Hill, MA 02467-3139
Phone (347) 334-9388

Other practice location 1

43 Gerry Rd
Chestnut Hill, MA 02467-3139
Phone (347) 334-9388

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL jhan@bournewood.com Direct
CONNECT URL jhan@bournewood.com Direct

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
I20210401002141 MA Practitioner - Nurse Practitioner 3375950629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Brain Health PLLCGroup PAC ID 8527334911, 7 clinicians

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 855-7288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2276327MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Psychiatric Planners, Inc CurrentSince Jun 29, 2021 Accepting new patients
Center for Brain Health PLLC Current Accepting new patients
Thrive Counseling LLC CurrentSince Mar 26, 2021 Accepting new patients
Bournewood Clinical Associates CurrentSince Jun 29, 2021 Accepting new patients
Center for Brain Health PLLC CurrentSince May 20, 2025 Accepting new patients

Locations

1101 Beacon St
Ste 8W
Brookline, MA 02446
Phone (617) 277-5510

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

929 Massachusetts Ave
Ste 103
Cambridge, MA 02139
Phone (617) 395-5806

300 South St
Chestnut Hill, MA 02467
Phone (617) 469-0300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1881296556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GERRY RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673139",
            "telephone_number": "347-334-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST STE 8W",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-855-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Gerry Rd",
            "address_purpose": "LOCATION",
            "city": "Chestnut Hill",
            "state": "MA",
            "postal_code": "024673139",
            "country_code": "US",
            "telephone_number": "347-334-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "JAEYOUNG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2276327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jhan@bournewood.com",
            "affiliation": "N",
            "endpointDescription": "mailing address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43 Gerry Rd",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024673139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jhan@bournewood.com",
            "affiliation": "N",
            "endpointDescription": "company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43 Gerry Rd",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024673139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.