TIMOTHY PARKS PH.D.
NPI 1477390268
Psychologist - Clinical in North Charleston, SC

Active since July 10, 2024PECOS Enrolled
4000 FABER PLACE DR, NORTH CHARLESTON, SC 29405(716) 946-3138 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 5, 2024, Jul 10, 2024 (2 updates tracked since 2024).

About Timothy Parks Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY PARKS PH.D. (NPI 1477390268) is an individual clinical provider in North Charleston, South Carolina, licensed in South Carolina (1890) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477390268
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIMOTHY PARKSCredential: PH.D.
Location Address4000 FABER PLACE DRNorth Charleston, SC 29405-8585
Mailing Address4000 Faber Place DrNorth Charleston, SC 29405-8585 · (716) 946-3138
Sole ProprietorNo
Enumeration DateJuly 10, 2024
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1477390268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 1890
Definition
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.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 025551-01 (NY)
4000 FABER PLACE DR, North Charleston, SC 29405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Parks Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Parks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
4000 FABER PLACE DR, SUITE 327
NORTH CHARLESTON, SC 29405
In Home Supportive Care
4000 FABER PLACE DR, SUITE 327
NORTH CHARLESTON, SC 29405
In Home Supportive Care
4000 FABER PLACE DR
NORTH CHARLESTON, SC 29405
In Home Supportive Care
4000 FABER PLACE DR
CHARLESTON, SC 29405
Nurse Practitioner
4000 FABER PLACE DR, SUITE 300
CHARLESTON, SC 29405
Counselor
4000 FABER PLACE DR
CHARLESTON, SC 29405
Counselor (Professional)
4000 FABER PLACE DR, 300
CHARLESTON, SC 29405
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4000 FABER PLACE DR, SUITE 300
NORTH CHARLESTON, SC 29405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Parks's NPI number?

The NPI number for Timothy Parks is 1477390268. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Timothy Parks located?

Timothy Parks practices at 4000 Faber Place Dr, North Charleston, SC 29405. The listed phone number is (716) 946-3138.

What is Timothy Parks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Timothy Parks enrolled in Medicare?

Yes. Timothy Parks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Parks reassigns Medicare benefits to Charleston Counseling Center PC (Mount Pleasant, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Parks accept?

Health plans from BlueCross BlueShield of South Carolina, Oscar Health Plan, Inc. and UnitedHealthcare list Timothy Parks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Parks was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.