OrganizationActive
Go Mindful Practice, LLC
NPI 1508580937 · Cognitive & Behavioral Psychologist · Marlton, NJ
Provider details
- NPI number
- 1508580937
- Entity type
- Organization
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Jacqueline Shall-Mccumiskey, Owner
Mailing address
20 Haven Esplanade St
Staten Island, NY 10301-2717
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 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.