Individual provider

Timothy Parks, PH.D.

Clinical Psychologist Health Service Psychologist Medicare enrolled

Timothy Parks, PH.D. is a Clinical Psychologist in North Charleston, SC, registered under NPI 1477390268. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 109 BOTANY BAY BLVD, North Charleston, SC 29418. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

109 BOTANY BAY BLVD, North Charleston, SC 29418 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
1890 SC Clinical Psychologist primary
025551-01 NY Health Service Psychologist

Licences are recorded in 2 states: SC, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
9739620386
Enrollment ID
I20240923001750

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New York and South Carolina. The practice address on file is in North Charleston, SC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NY New York
Licence
025551-01
Specialty
Health Service Psychologist
Verify with the NY board →
SC South Carolina practice address
Licence
1890
Specialty
Clinical Psychologist
Verify with the SC board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 1890 SC primary
103TH0100X Health Service Psychologist Health Service 025551-01 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1477390268 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 10, 2024
Last updatedSep 5, 2024
StatusActive
Sole proprietorNo
CredentialPH.D.
Practice address 109 BOTANY BAY BLVD
North Charleston, SC 29418
(716) 946-3138
This record was updated on Sep 5, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1477390268 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 3 9 0 2 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 6 9 0 2 3

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477390268?
NPI 1477390268 is the National Provider Identifier assigned to Timothy Parks, PH.D. in North Charleston, SC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact Timothy Parks, PH.D.?
The phone number on file with NPPES is (716) 946-3138, last updated Sep 5, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Timothy Parks, PH.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477390268 a valid number?
Yes. 1477390268 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.