The Act Therapist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

THE ACT THERAPIST PLLC

Practice address

1026 Jay St # B181
Charlotte, NC 28208-4431

Phone

(704) 313-8803

NPI assigned

Oct 10, 2025

Last updated

Oct 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Elizabeth Borushok, PHDNPI 1366185779

Title

Psychologist/Owner

Phone

(704) 313-8803

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica E Borushok, PH.D.

  • Clinical Psychologist
  • Charlotte, NC
  • NPI 1366185779
  NPD Authorized official

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1881569580",
    "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": "704-313-8803"
        },
        {
            "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": "704-313-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ACT THERAPIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "BORUSHOK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "704-313-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn White Thames
• Nidhi Thapar, FDN
• Emma Catherine Tharp, LCASA
• Kia Simone Thatch, CCC-SLP
• The 11TH Hour Global Mission
• The Adlock Corporation (Always Best Care of Charlotte)
• The Angel Gabriel Company
• The Bib Agency, LLC
• The Black Males Institute Or the Black Males Therapy Clinic
• The Blanchard Institute

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.