Shawn Kalback, PHD
NPI 1770602641 · Clinical Child & Adolescent Psychologist · Portland, ME
Provider details
- NPI number
- 1770602641
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PS1375 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 46 First Park Dr Ste DOakland, ME 04963-5376Phone: (207) 680-2117Fax: (207) 680-2119
- 149 North StWaterville, ME 04901-4974Phone: (207) 872-4303Fax: (207) 872-4294
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.