Juanita Marie Waites, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1878 Issued in OR

Practice address

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

Phone

(541) 331-3152

Fax

(833) 263-0939

NPI assigned

Jul 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Nita Marie Waites Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juanita Waites Psychological Services, Inc.

  • Adult Mental Health Clinic/Center
  • Klamath Falls, OR
  • NPI 1851862718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1861705485",
    "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": {
        "last_name": "WAITES",
        "first_name": "JUANITA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500693464",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITA",
            "last_name": "WAITES",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Lewis Waegele Jr.
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• Louie Joe Wahl
• Carolyn Ann Waite, QMHA
• Lisa Kaye Wakefield
• Wal-Mart Stores, Inc (Vision Center 30-1772)
• Jonel Waldrup, BS, QMHA
• Walgreen Co (Walgreens #21411)
• Deepika Wali, M.D.

• Clinical Psychologist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Clinical Psychologist 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.