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

NPI Status: Active since September 29, 2022

Contact Information

525 ROUTE 73 N STE 104
MARLTON, NJ
ZIP 08053
Phone: (646) 479-8068

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  • Organization
  • Psychologist
  • Cognitive & Behavioral

About GO MINDFUL PRACTICE, LLC

This page provides the complete NPI Profile along with additional information for Go Mindful Practice, Llc, a provider established in Marlton, New Jersey operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1508580937 assigned on September 2022. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jacqueline Shall-mccumiskey Psyd (Owner)

NPI
1508580937
Provider Name
GO MINDFUL PRACTICE, LLC
Entity Type
Organization
Location Address
525 ROUTE 73 N STE 104 MARLTON, NJ 08053
Location Phone
(646) 479-8068
Mailing Address
20 HAVEN ESPLANADE ST STATEN ISLAND, NY 10301
Mailing Phone
(646) 479-8068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2022
Last Update Date
09-29-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACQUELINE SHALL-MCCUMISKEY PSYD

Authorized Official Title
OWNER
Authorized Official Phone
(646) 479-8068

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508580937, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 0 + 8 + 0 + 9 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508580937.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Clinic/Center (Adult Mental Health)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Social Worker (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Psychologist (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Psychologist (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Day Training, Developmentally Disabled Services
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Home Health
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Pediatrics
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Physician Assistant (Surgical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Counselor (Mental Health)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Clinic/Center (Hearing and Speech)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Behavior Analyst
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Doula
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Social Worker (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Specialist/Technologist, Other (Electroneurodiagnostic)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Behavior Analyst
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Case Management
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Social Worker (Clinical)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
In Home Supportive Care
525 ROUTE 73 N STE 104
MARLTON, NJ 08053
Counselor (Mental Health)
525 ROUTE 73 N STE 104
MARLTON, NJ 08053

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508580937, enumerated as an "organization" on September 29, 2022.

The provider is located at 525 ROUTE 73 N STE 104 MARLTON, NJ 08053 and the phone number is (646) 479-8068.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.