MAXWELL SHACK
NPI 1619836020
Counselor - Mental Health in Santa Ana, CA
About Maxwell Shack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXWELL SHACK (NPI 1619836020) is an individual mental health provider in Santa Ana, California, licensed in California (21497) and active in the NPI registry since January 2026.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maxwell Shack's NPI number?
The NPI number for Maxwell Shack is 1619836020. It was assigned to this individual provider in the NPPES registry on January 20, 2026.
Where is Maxwell Shack located?
Maxwell Shack practices at 505 N Tustin Ave Ste 265, Santa Ana, CA 92705. The listed phone number is (866) 766-4935.
What is Maxwell Shack's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Maxwell Shack was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.