SHAWN R KALBACK PHD
NPI 1770602641
Psychologist - Clinical Child & Adolescent in Portland, ME

Q: What is Shawn Kalback's NPI number?

The NPI number for Shawn Kalback is 1770602641. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Shawn Kalback's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Kalback was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 29, 2007PECOS Enrolled

1577 CONGRESS ST STE 2, PORTLAND, ME 04102(207) 662-5522(207) 774-1814 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Shawn R Kalback Phd NPPES

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

SHAWN R KALBACK PHD (NPI 1770602641) is an individual clinical child & adolescent provider in Portland, Maine, licensed in Maine (PS1375) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770602641

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameSHAWN R KALBACKCredential: PHD

Location Address1577 CONGRESS ST STE 2Portland, ME 04102-2169

Mailing Address1577 Congress St Ste 2Portland, ME 04102-2169 · (207) 662-5522 · Fax (207) 774-1814

Phone(207) 662-5522

Fax(207) 774-1814

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateJune 25, 2025

NPPES CertifiedJune 25, 2025

✔ NPI 1770602641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Licenses✔ Licensed in ME · PS1375✔ Licensed in MD · 04354

Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS1375 (ME)

1577 CONGRESS ST STE 2, Portland, ME 04102

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Secondary Practice Locations 2

Location 1149 North StWaterville, ME 04901-4974 · Phone (207) 872-4303 · Fax (207) 872-4294

Location 246 First Park Dr Ste DOakland, ME 04963-5376 · Phone (207) 680-2117 · Fax (207) 680-2119

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn R Kalback Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD BLODGETT COOK DO

Medical Genetics (Clinical Biochemical Genetics)

1577 CONGRESS ST STE 2
PORTLAND, ME 04102

Cumberland County (207) 662-5522

SAVANNAH BERNARDIN

Physical Therapist

1577 CONGRESS ST STE 2
PORTLAND, ME 04102

Cumberland County (207) 662-5522

CAREY PATRICK WERTZ LCPC

Counselor (Mental Health)

1577 CONGRESS ST STE 2
PORTLAND, ME 04102

Cumberland County (207) 662-5093

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 Shawn Kalback's NPI number?

The NPI number for Shawn Kalback is 1770602641. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Shawn Kalback located?

Shawn Kalback practices at 1577 Congress St Ste 2, Portland, ME 04102. The listed phone number is (207) 662-5522.

What is Shawn Kalback's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Shawn Kalback enrolled in Medicare?

Yes. Shawn Kalback is registered in the Medicare PECOS enrollment system.

What insurance does Shawn Kalback accept?

Health plans from Harvard Pilgrim Health Care list Shawn Kalback as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Kalback was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.