Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Go Mindful Practice, LLC

Organization Cognitive & Behavioral Psychologist · NPI 1508580937

Go Mindful Practice, LLC is a Cognitive & Behavioral Psychologist in Marlton, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Phone: (646) 479-8068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X

Record details

NPI number1508580937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Shall-McCumiskey — Owner · (646) 479-8068
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address20 Haven Esplanade St, Staten Island, NY 10301-2717

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