Go Mindful Practice, LLC
NPI 1508580937 · Cognitive & Behavioral Psychologist · Marlton, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Go Mindful Practice, LLC is a Cognitive & Behavioral Psychologist organization in Marlton, NJ (NPI 1508580937).
Provider details
- NPI number
- 1508580937
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- 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
3 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
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Go Mindful Practice, LLC's NPI number?
- Go Mindful Practice, LLC's National Provider Identifier (NPI) is 1508580937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Go Mindful Practice, LLC?
- Go Mindful Practice, LLC is classified in the NPPES registry as Cognitive & Behavioral Psychologist (Behavioral Health & Social Service Providers).
- Where is Go Mindful Practice, LLC located?
- Go Mindful Practice, LLC's practice location on file with NPPES is 525 Route 73 N Ste 104, Marlton, NJ 08053-3422.
- What is Go Mindful Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Go Mindful Practice, LLC is (646) 479-8068.
- Does Go Mindful Practice, LLC accept Medicare?
- Go Mindful Practice, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Go Mindful Practice, LLC?
- The authorized official listed on Go Mindful Practice, LLC'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 Go Mindful Practice, LLC's NPI active?
- Yes — Go Mindful Practice, LLC's NPI (1508580937) 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.