Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maxwell Shack

Individual provider Mental Health Counselor · NPI 1619836020

Maxwell Shack is a Mental Health Counselor in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

505 N Tustin Ave Ste 265
Santa Ana, CA 92705-3775
Phone: (866) 766-4935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 21497 (CA)

Record details

NPI number1619836020
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Other providers in Santa Ana