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MR. TIMOTHY ALAN BALISKY APRN, PMHNP-BC
NPI 1881339182
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since May 02, 2022
301 MCCULLOUGH DR STE 520, CHARLOTTE, NC 28262(704) 332-8787(704) 332-8788 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, May 2, 2022 (2 updates tracked since 2022).

About Mr. Timothy Alan Balisky Aprn, Pmhnp-bc NPPES

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

MR. TIMOTHY ALAN BALISKY APRN, PMHNP-BC (NPI 1881339182) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5016133) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1881339182
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TIMOTHY ALAN BALISKYCredential: APRN, PMHNP-BC
Location Address301 MCCULLOUGH DR STE 520Charlotte, NC 28262-1336
Mailing Address5426 Bedfordshire AveHarrisburg, NC 28075-9384 · (951) 310-4957
Phone(704) 332-8787
Fax(704) 332-8788
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1881339182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5016133
301 MCCULLOUGH DR STE 520, Charlotte, NC 28262
Open in Google Maps ↗

Other Identifiers 1

Other5016133NC · Board Of Nursing

Other Providers at the Same Location NPPES 3

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

BENITA WHITE DRAYTON LCMHC
Counselor (Professional)
301 MCCULLOUGH DR STE 520
CHARLOTTE, NC 28262
Mecklenburg County (704) 332-8787
TAYLOR RENEE JOHNSON LCSWA
Social Worker (Clinical)
301 MCCULLOUGH DR STE 520
CHARLOTTE, NC 28262
Mecklenburg County (704) 332-8787
NASIR I RANDOLPH-POWELL MSW, LCSWA
Social Worker (Clinical)
301 MCCULLOUGH DR STE 520
CHARLOTTE, NC 28262
Mecklenburg County (980) 286-4943

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 Balisky's NPI number?

The NPI number for Timothy Balisky is 1881339182. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Timothy Balisky located?

Timothy Balisky practices at 301 Mccullough Dr Ste 520, Charlotte, NC 28262. The listed phone number is (704) 332-8787.

What is Timothy Balisky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Timothy Balisky was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.