| Psychotherapy Associates Of The Dmv | |
|
1700 Connecticut Ave Nw Ste 401 Washington DC 20009-1169 | |
| (571) 317-1003 | |
| (888) 220-4899 |
| Full Name | Psychotherapy Associates Of The Dmv |
|---|---|
| Speciality | Psychologist |
| Location | 1700 Connecticut Ave Nw Ste 401, Washington, District Of Columbia |
| Authorized Official Name and Position | Timothy Andrew Ellsworth (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5713171003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of The Dmv 1700 Connecticut Ave Nw Ste 401 Washington DC 20009-1169 Ph: (703) 568-6763 | Psychotherapy Associates Of The Dmv 1700 Connecticut Ave Nw Ste 401 Washington DC 20009-1169 Ph: (571) 317-1003 |
| NPI Number | 1528675212 |
|---|---|
| Provider Enumeration Date | 09/26/2020 |
| Last Update Date | 09/26/2020 |
| Certification Date | 09/25/2020 |
| Medicare PECOS PAC ID | 0840679684 |
|---|---|
| Medicare Enrollment ID | O20220624000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528675212 | NPI | - | NPPES |
| Provider Name | Timothy Ellsworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568510212 PECOS PAC ID: 5092812164 Enrollment ID: I20070524000290 |
| Provider Name | Michael Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881202596 PECOS PAC ID: 9739555293 Enrollment ID: I20221025001320 |
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