SHAWN R KALBACK (PHD) – Clinical Child & Adolescent Psychologist, NPI 1770602641
Clinical Child & Adolescent Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
173 CLINICAL PSYCHOLOGIST in ME
Provider Addresses for SHAWN R KALBACK (PHD)
149 NORTH ST
WATERVILLE, ME 049014974
Phone: (207) 872-4303
Fax: (207) 872-4294
Type: Mailing
46 First Park Dr Ste D
Oakland, ME 049635376
Phone: (207) 680-2117
Fax: (207) 680-2119
Type: Location
149 North St
Waterville, ME 049014974
Phone: (207) 872-4303
Fax: (207) 872-4294
Type: Location
1577 CONGRESS ST STE 2
PORTLAND, ME 041022169
Phone: (207) 662-5522
Fax: (207) 774-1814
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130723000950 | I | Clinical Psychologist | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04901)
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Group practice members
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