TED WILCOX WORM
NPI 1104435411
Psychologist in Washington, DC

Active since July 23, 2020Opted out of Medicare · through Apr 8, 2028
600 PENNSYLVANIA AVE SE, WASHINGTON, DC 20003(202) 750-1638 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2021, Jul 23, 2020 (2 updates tracked since 2020).

About Ted Wilcox Worm NPPES

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

TED WILCOX WORM (NPI 1104435411) is an individual psychologist in Washington, District Of Columbia and active in the NPI registry since July 2020. He has opted out of Medicare through April 8, 2028.

NPPES Registry Identity

NPI1104435411
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTED WILCOX WORM
Location Address600 PENNSYLVANIA AVE SEWashington, DC 20003-4316
Mailing Address600 Pennsylvania Ave Se Ste 340Washington, DC 20003-6300
Sole ProprietorYes
Enumeration DateJuly 23, 2020
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1104435411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
600 PENNSYLVANIA AVE SE, Washington, DC 20003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ted Wilcox Worm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 8, 2022 through April 8, 2028.

Opt-Out Effective DateApril 8, 2022
Opt-Out In Effect ThroughApril 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Physical Therapist
600 PENNSYLVANIA AVE SE, SUITE 202
WASHINGTON, DC 20003
Home Health Aide
600 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
Psychologist (Clinical)
600 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
Orthopaedic Surgery
600 PENNSYLVANIA AVE SE, SUITE 202
WASHINGTON, DC 20003
Counselor (Professional)
600 PENNSYLVANIA AVE SE, SUITE 230
WASHINGTON, DC 20003
Physical Medicine & Rehabilitation
600 PENNSYLVANIA AVE SE, SUITE 202
WASHINGTON, DC 20003
Physician Assistant
600 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
Pharmacy (Community/Retail Pharmacy)
600 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003

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 Ted Worm's NPI number?

The NPI number for Ted Worm is 1104435411. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Ted Worm located?

Ted Worm practices at 600 Pennsylvania Ave SE, Washington, DC 20003. The listed phone number is (202) 750-1638.

What is Ted Worm's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ted Worm enrolled in Medicare?

No. Ted Worm has opted out of Medicare through April 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ted Worm was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.