IndividualActive
Timothy Waite, MD
NPI 1821170598 · Child & Adolescent Psychiatry Physician · South Portland, ME
Provider details
- NPI number
- 1821170598
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 015257 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
280 Gannett Dr Ste B
South Portland, ME 04106-7940
Phone: (207) 828-0048
Fax: (207) 772-3743
Approximate (ZIP-level) locationGet directions
Mailing address
280 Gannett Dr Ste B
South Portland, ME 04106-7940
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.