Psychotherapy Associates of the DMV

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOTHERAPY ASSOCIATES OF THE DMV

Practice address

1700 Connecticut Ave NW Ste 401
Washington, DC 20009-1169

Phone

(571) 317-1003

Fax

(888) 220-4899

NPI assigned

Sep 26, 2020

Last updated

Sep 26, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Andrew Ellsworth, PSYDNPI 1568510212

Title

Clinical Psychologist

Phone

(571) 317-1003

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Andrew Ellsworth, PSY.D.

  • Clinical Psychologist
  • Arlington, VA
  • NPI 1568510212

  DC

  Medicare reassignment NPD Authorized official
• Michael Davis, PSYD

  • Clinical Psychologist
  • Front Royal, VA
  • NPI 1881202596

  DC

  Medicare reassignment NPD
• Cynthia Elizabeth Killough, PSYD

  • Psychologist
  • Washington, DC
  • NPI 1164636684

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1528675212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CONNECTICUT AVE NW STE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091169",
            "telephone_number": "703-568-6763",
            "fax_number": "888-220-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CONNECTICUT AVE NW STE 401",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091169",
            "telephone_number": "571-317-1003",
            "fax_number": "888-220-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Fairfax Dr Ste 61",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031762",
            "country_code": "US",
            "telephone_number": "571-317-1003",
            "fax_number": "888-220-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF THE DMV",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "571-317-1003",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psyche & Soma
• Psychiatric Center Chartered,Inc
• Psychological Assessment Solutions
• Psychological Group of Washington
• Psychotherapuetic Outreach Services Inc
• Psysolutions
• Ayenam Ptiote
• Christina Pu, MD
• Devon Pu, LGSW
• Jingxiong Pu, MD

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.