Organization Active NPI

Busy Mind Psychologist Inc

  • Psychologist
  • Charlotte, NC
National Provider Identifier
1780276402
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BUSY MIND PSYCHOLOGIST INC
Practice address
1026 Jay St # B181
Charlotte, NC 28208-4431
Phone
(754) 900-5282
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Dr. Jessica Borushok, PHDNPI 1366185779
Title
Owner/Ceo
Phone
(754) 900-5282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1026 Jay St # B181
Charlotte, NC 28208-4431

Mailing address

1026 Jay St # B181
Charlotte, NC 28208-4431
Phone (754) 900-5282

National Provider Directory

National Provider Directory

Locations

254 N Lake Ave
Pasadena, CA 91101
Phone (213) 224-1076

1026 Jay St
#B181
Charlotte, NC 28208
Phone (704) 313-8803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1780276402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 JAY ST # B181",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084431",
            "telephone_number": "754-900-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 JAY ST # B181",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084431",
            "telephone_number": "754-900-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSY MIND PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "BORUSHOK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "754-900-5282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.