Individual provider · Type 1 NPI

Maxwell Shack

Mental Health Counselor · Santa Ana, CA

NPI number 1619836020 Active

Practice location

505 N Tustin Ave Ste 265
Santa Ana, CA 92705-3775

Call (866) 766-4935 Map

Mailing address

17762 Cowan Ste 100
Irvine, CA 92614-6035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X21497 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1619836020

Maxwell Shack's National Provider Identifier is 1619836020, issued on Jan 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on Oct 1, 2026.