Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Shall-McCumiskey, PSYD

Individual provider Clinical Psychologist · NPI 1083160170

Dr. Jacqueline Shall-McCumiskey, PSYD is a Clinical Psychologist in Marlton, New Jersey. Qualified in 2015, 11 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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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.

Additional practice locations (2)

  • 1675 Richmond Rd, Staten Island, NY 10304-2317 — (646) 479-8068
  • 1110 South Ave, Staten Island, NY 10314-3403 — (347) 273-1290

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021797 (NY)

Record details

NPI number1083160170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 29, 2016
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marlton