Jacqueline Shall-Mccumiskey, PSY. D.
NPI 1083160170 · Clinical Psychologist · Marlton, NJ
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Shall-Mccumiskey, PSY. D. is a Clinical Psychologist provider in Marlton, NJ (NPI 1083160170).
Provider details
- NPI number
- 1083160170
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY. D.
- Sex
- Female
- Sole proprietor
- No
- License
- 021797 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1110 South AveSuite 5Staten Island, NY 10314-3403Phone: (347) 273-1290
- 1675 Richmond RdStaten Island, NY 10304-2317Phone: (646) 479-8068
Registry dates
- Enumerated
- 2016-08-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Jacqueline Shall-Mccumiskey's NPI number?
- Jacqueline Shall-Mccumiskey's National Provider Identifier (NPI) is 1083160170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Shall-Mccumiskey's specialty?
- Jacqueline Shall-Mccumiskey is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacqueline Shall-Mccumiskey located?
- Jacqueline Shall-Mccumiskey's practice location on file with NPPES is 525 Route 73 N Ste 104, Marlton, NJ 08053-3422.
- What is Jacqueline Shall-Mccumiskey's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Shall-Mccumiskey is (646) 479-8068.
- Does Jacqueline Shall-Mccumiskey accept Medicare?
- Jacqueline Shall-Mccumiskey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Shall-Mccumiskey's NPI active?
- Yes — Jacqueline Shall-Mccumiskey's NPI (1083160170) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.