DR. JESSICA E BORUSHOK PH.D.
NPI 1366185779
Psychologist - Clinical in Charlotte, NC

Q: What is Jessica Borushok's NPI number?

The NPI number for Jessica Borushok is 1366185779. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Jessica Borushok's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jessica Borushok enrolled in Medicare?

No. Jessica Borushok has opted out of Medicare through September 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jessica Borushok was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2022Opted out of Medicare · through Sep 27, 2026

1026 JAY ST # B181, CHARLOTTE, NC 28208(704) 313-8803 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, May 1, 2023, Apr 14, 2022 (3 updates tracked since 2022).

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About Dr. Jessica E Borushok Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA E BORUSHOK PH.D. (NPI 1366185779) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (6294) and active in the NPI registry since April 2022. She has opted out of Medicare through September 27, 2026.

NPPES Registry Identity

NPI1366185779

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA E BORUSHOKCredential: PH.D.

Location Address1026 JAY ST # B181Charlotte, NC 28208-4431

Mailing Address1026 Jay St # B181Charlotte, NC 28208-4431 · (704) 313-8803

Phone(704) 313-8803

Sole ProprietorNo

Enumeration DateApril 14, 2022

Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1366185779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 6294

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1026 JAY ST # B181, Charlotte, NC 28208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jessica E Borushok Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 27, 2022 through September 27, 2026.

Opt-Out Effective DateSeptember 27, 2022

Opt-Out In Effect ThroughSeptember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUSY MIND PSYCHOLOGIST INC

Psychologist

1026 JAY ST # B181
CHARLOTTE, NC 28208

Mecklenburg County (754) 900-5282

THE ACT THERAPIST PLLC

Psychologist (Clinical)

1026 JAY ST # B181
CHARLOTTE, NC 28208

Mecklenburg County (704) 313-8803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Borushok's NPI number?

The NPI number for Jessica Borushok is 1366185779. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Jessica Borushok located?

Jessica Borushok practices at 1026 Jay St # B181, Charlotte, NC 28208. The listed phone number is (704) 313-8803.

What is Jessica Borushok's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Borushok enrolled in Medicare?

No. Jessica Borushok has opted out of Medicare through September 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Borushok accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jessica Borushok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Borushok was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.