Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice
NPI 1104699974 · Psychologist · Staten Island, NY
Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice is a Psychologist organization in Staten Island, NY (NPI 1104699974).
Provider details
- NPI number
- 1104699974
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- 1104699974
- Organization subpart
- Yes
- Authorized official
- Jacqueline Shall-Mccumiskey, Owner(646) 479-8068
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Other name
- Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice
- Doing business as
- Jacqueline Shall-Mccumiskey, Psy.d., PLLC
- Doing business as
- Jacqueline Shall-Mccumiskey, Psy.d., PLLC
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2025-03-03
- Certified
- 2025-02-06
Frequently asked questions
- What is Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's NPI number?
- Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's National Provider Identifier (NPI) is 1104699974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice?
- Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice located?
- Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's practice location on file with NPPES is 1675 Richmond Rd, Staten Island, NY 10304-2317.
- What is Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice is (646) 479-8068.
- Who is the authorized official for Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice?
- The authorized official listed on Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's NPPES record is Jacqueline Shall-Mccumiskey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's NPI active?
- Yes — Jacqueline Shall-Mccumiskey, Psy.d. Mindful Practice's NPI (1104699974) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.