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TIMOTHY SCOTT
NPI 1629911839
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC

Active since April 13, 2026
1936 WILDLIFE RD, CHARLOTTE, NC 28214(980) 766-0233 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Scott NPPES

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

TIMOTHY SCOTT (NPI 1629911839) is an individual community based residential treatment facility, mental illness provider in Charlotte, North Carolina and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1629911839
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameTIMOTHY SCOTT
Location Address1936 WILDLIFE RDCharlotte, NC 28214-8457
Mailing Address13000 S Tryon St # F-279Charlotte, NC 28278-7652 · (980) 766-0233
Phone(980) 766-0233
Sole ProprietorYes
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1629911839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1936 WILDLIFE RD, Charlotte, NC 28214
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Other Providers at the Same Location NPPES

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

TIM SCOTT
Community/Behavioral Health
1936 WILDLIFE RD
CHARLOTTE, NC 28214
Mecklenburg County (980) 766-0233

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 Scott's NPI number?

The NPI number for Timothy Scott is 1629911839. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Timothy Scott located?

Timothy Scott practices at 1936 Wildlife Rd, Charlotte, NC 28214. The listed phone number is (980) 766-0233.

What is Timothy Scott's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Timothy Scott was last updated on April 13, 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.