Jacqueline Shall-Mccumiskey, Psy.D. Mindful Practice
NPI 1104699974ActiveOrganization· Psychologist· Staten Island, NY
Psychologist in Staten Island, New York, registered in NPPES in November 2023, part of 1104699974. The authorized official on file is Jacqueline Shall-Mccumiskey, Owner.
Overview
| NPI | 1104699974 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 1104699974 |
| NPI issued | Nov 3, 2023 |
| Last updated in NPPES | Mar 3, 2025 |
| Certified by provider | Feb 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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