Jacqueline Shall-Mccumiskey, Psy.D., Pllc

LBN: Jacqueline Shall-Mccumiskey, Psy.D., Pllc Mindful Practice
Jacqueline Shall-Mccumiskey, Psy.D., Pllc is an health care organization with primary practice located at 1675 Richmond Rd , Staten Island NY 10304-2317. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jacqueline Shall-Mccumiskey, Psy.D., Pllc Mindful Practice can be contacted via phone (646) 479-8068, or through Shall-Mccumiskey, Jacqueline via phone (646) 479-8068.

Contact Information

Primary practice address
1675 Richmond Rd Staten Island NY 10304-2317
Phone: (646) 479-8068
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shall-Mccumiskey, Jacqueline PSY.D.
Phone: (646) 479-8068

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1104699974
LBN Legal business name Jacqueline Shall-Mccumiskey, Psy.D., Pllc Mindful Practice
DBA Doing business as Jacqueline Shall-Mccumiskey, Psy.D., Pllc
Authorized official Shall-Mccumiskey, Jacqueline PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2023
Last updated Jan 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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