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

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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