GO MINDFUL PRACTICE, LLC
NPI 1508580937
Psychologist - Cognitive & Behavioral in Marlton, NJ

Active since September 29, 2022
525 ROUTE 73 N STE 104, MARLTON, NJ 08053(646) 479-8068 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Go Mindful Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GO MINDFUL PRACTICE, LLC (NPI 1508580937) is a healthcare organization registered as a cognitive & behavioral in Marlton, New Jersey and active in the NPI registry since September 2022. The organization lists Jacqueline Shall-mccumiskey, Owner, as its authorized official.

NPPES Registry Identity

NPI1508580937
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameGO MINDFUL PRACTICE, LLC
Location Address525 ROUTE 73 N STE 104Marlton, NJ 08053-3422
Mailing Address20 Haven Esplanade StStaten Island, NY 10301-2717 · (646) 479-8068
Organization SubpartNo
Authorized OfficialJacqueline Shall-mccumiskeyOwner · (646) 479-8068
Enumeration DateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
NPI 1508580937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
525 ROUTE 73 N STE 104, Marlton, NJ 08053

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical Child & Adolescent)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
In Home Supportive Care
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Midwife
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Psychologist (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
In Home Supportive Care
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Community/Behavioral Health
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Counselor (Mental Health)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Behavior Analyst
525 ROUTE 73 N STE 104
MARLTON, NJ 08053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Go Mindful Practice, LLC's NPI number?

The NPI number for Go Mindful Practice, LLC is 1508580937. It was assigned to this organization in the NPPES registry on September 29, 2022.

Where is Go Mindful Practice, LLC located?

Go Mindful Practice, LLC is located at 525 Route 73 N Ste 104, Marlton, NJ 08053. The listed phone number is (646) 479-8068.

What is Go Mindful Practice, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Go Mindful Practice, LLC was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.