Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Borenstein

Individual provider Psychologist · NPI 1477106045

Dr. Jack Borenstein is a Clinical Psychologist in Hollywood, Florida. Qualified in 2023, 3 years ago. Practices with Ricardo Buitrago PSYD PA, a 3-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
3
Licensed in
FL, NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5420 N 37th St
Hollywood, FL 33021-2203
Phone: (954) 399-0120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY12629 (FL)
Psychologist Taxonomy 103T00000X · Licence 027721 (NY)

Record details

NPI number1477106045
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address5420 N 37th St, Hollywood, FL 33021-2203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ricardo Buitrago Psyd Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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