DR. TIMOTHY ANDREW ELLSWORTH PSY.D.
NPI 1568510212
Psychologist - Clinical in Arlington, VA

Q: What is Timothy Ellsworth's NPI number?

The NPI number for Timothy Ellsworth is 1568510212. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Timothy Ellsworth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Ellsworth was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

3801 FAIRFAX DR 61, ARLINGTON, VA 22203(571) 317-1003(888) 220-4899 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 1, 2021, Sep 30, 2015 (2 updates tracked since 2015).

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About Dr. Timothy Andrew Ellsworth Psy.d. NPPES

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

DR. TIMOTHY ANDREW ELLSWORTH PSY.D. (NPI 1568510212) is an individual clinical provider in Arlington, Virginia, licensed in District Of Columbia (PSY1000280) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1568510212

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY ANDREW ELLSWORTHCredential: PSY.D.

Location Address3801 FAIRFAX DR 61Arlington, VA 22203-1762

Mailing Address3801 Fairfax Dr Ste 61Arlington, VA 22203-1762 · (571) 317-1003 · Fax (888) 220-4899

Phone(571) 317-1003

Fax(888) 220-4899

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1568510212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in DC · PSY1000280

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3801 FAIRFAX DR 61, Arlington, VA 22203

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Secondary Practice Location 1

Location 11700 Connecticut Ave NW Ste 401Washington, DC 20009-1169 · Phone (571) 317-1003 · Fax (888) 220-4899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Andrew Ellsworth Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092812164

PECOS Enrollment IDI20070524000290, I20230125000110

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ellsworth's NPI number?

The NPI number for Timothy Ellsworth is 1568510212. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Timothy Ellsworth located?

Timothy Ellsworth practices at 3801 Fairfax Dr 61, Arlington, VA 22203. The listed phone number is (571) 317-1003.

What is Timothy Ellsworth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Timothy Ellsworth enrolled in Medicare?

Yes. Timothy Ellsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Timothy Ellsworth was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.