MIDLANDS NEUROBEHAVIORAL SERVICES, LLC
NPI 1447709431
Clinical Neuropsychologist in Bangor, ME

Q: What is Midlands Neurobehavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 02, 2016

621 HAMMOND ST STE 4, BANGOR, ME 04401(207) 307-7860(888) 352-7678 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 3, 2019, Oct 2, 2016 (2 updates tracked since 2016).

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About Midlands Neurobehavioral Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDLANDS NEUROBEHAVIORAL SERVICES, LLC (NPI 1447709431), doing business as Npact, is a healthcare organization registered as a clinical neuropsychologist in Bangor, Maine and active in the NPI registry since October 2016. The organization lists Shawna Blake Kirby, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1447709431

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameMIDLANDS NEUROBEHAVIORAL SERVICES, LLC

Location Address621 HAMMOND ST STE 4Bangor, ME 04401-4586

Mailing Address621 Hammond St Ste 4Bangor, ME 04401-4586 · (207) 307-7860 · Fax (888) 352-7678

Phone(207) 307-7860

Fax(888) 352-7678

Organization SubpartNo

Authorized OfficialShawna Blake KirbyClinical Psychologist · (207) 307-7860

Enumeration DateOctober 2, 2016

Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1447709431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in SC · 1251

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 1251 (SC)

621 HAMMOND ST STE 4, Bangor, ME 04401

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Other Names 1

Doing Business AsNpact

Other Identifiers 4

MedicaidMETPID014444ME

MedicaidPS0613SC

OtherPSY1251SC · License

OtherPS2529ME · Licence

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midlands Neurobehavioral Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midlands Neurobehavioral Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawna Kirby, PHD

Clinical Psychologist

NPI 1174686356

1505 CHARLESTON HWY # 1523
West Columbia, SC 29169

(803) 497-3640

✔ PECOS993 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midlands Neurobehavioral Services, LLC's NPI number?

The NPI number for Midlands Neurobehavioral Services, LLC is 1447709431. It was assigned to this organization in the NPPES registry on October 2, 2016. The provider is doing business as Npact.

Where is Midlands Neurobehavioral Services, LLC located?

Midlands Neurobehavioral Services, LLC is located at 621 Hammond St Ste 4, Bangor, ME 04401. The listed phone number is (207) 307-7860.

What is Midlands Neurobehavioral Services, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Midlands Neurobehavioral Services, LLC enrolled in Medicare?

Yes. Midlands Neurobehavioral Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midlands Neurobehavioral Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Midlands Neurobehavioral Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Midlands Neurobehavioral Services, LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.