SHAWN R KALBACK PHD NPI 1770602641

NPI Information

  • NPI: 1770602641
  • Provider Name: SHAWN R KALBACK, PHD
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1577 CONGRESS ST STE 2
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 662-5522

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NPI Details

Shawn R Kalback, PHD is a clinical child and adolescent psychologist in Portland, ME. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Shawn R Kalback, PHD NPI is 1770602641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1577 CONGRESS ST STE 2
PORTLAND, ME
ZIP 04102-169
Phone: (207) 662-5522
Fax: (207) 774-1814

The NPI 1770602641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 6/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPS1375MAINENo
2103TC2200XPsychologistClinical Child & Adolescent04354MARYLANDNo
3103TC2200XPsychologistClinical Child & AdolescentPS1375MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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