Juanita Waites Psychological Services, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JUANITA WAITES PSYCHOLOGICAL SERVICES, INC.

Practice address

905 Main St Ste 602
Klamath Falls, OR 97601-5842

Phone

(541) 331-3152

Fax

(833) 263-0939

NPI assigned

Dec 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Juanita Marie Waites, PSY.D.NPI 1861705485

Title

President

Phone

(541) 331-3152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanita Marie Waites, PSY.D.

  • Clinical Psychologist
  • Klamath Falls, OR
  • NPI 1861705485
  Medicare reassignment NPD Authorized official
• Charla Christine Wade

  • Clinical Social Worker
  • Klamath Falls, OR
  • NPI 1952737462
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1851862718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 ROCK DOVE CT",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018586",
            "telephone_number": "541-331-3152",
            "fax_number": "833-263-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST STE 602",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015842",
            "telephone_number": "541-331-3152",
            "fax_number": "833-263-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA WAITES PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "WAITES",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-331-3152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rebekah Jones
• Tim R Jones
• Robin Lea Jordan, LPN
• Paul Rencit Joseph, PHARMD
• Aaron Josephson
• Ryan J Juchau, PHARMD
• Corrie A Judd, RN
• Chin Hee Jun, M.D.
• Jonathan Kaiser
• Montana Kaiyala, DPT

• Adult Mental Health Clinic/Center in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.