Timothy Parks, PH.D.
NPI 1477390268ActiveIndividual· Psychologist, Clinical· North Charleston, SC
Psychologist, Clinical (PH.D.) in North Charleston, South Carolina, licensed in SC and NY, with an NPI issued in July 2024. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1477390268 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jul 10, 2024 |
| Last updated in NPPES | Jun 17, 2026 |
| Certified by provider | Jun 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1890 | SC |
| Psychologist, Health Service | 103TH0100X | 025551-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (SC) |
|---|
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