DR. SHELLEY ROSE WAITE M.D. NPI 1962638197

NPI Information

  • NPI: 1962638197
  • Provider Name: DR. SHELLEY ROSE WAITE, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 57 HIGHLAND AVE
    SALEM, MA
    ZIP 01970
  • Phone: (978) 354-2795

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NPI Details

DR. Shelley Rose Waite, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Salem, MA with 17 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Shelley Rose Waite, M.D. NPI is 1962638197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

57 HIGHLAND AVE
SALEM, MA
ZIP 01970-141
Phone: (978) 354-2795
Fax: (978) 740-4748

The NPI 1962638197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 2/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics125-56149ILLINOISNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology247376MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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