Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Timothy Andrew Ellsworth, PSYD

Individual provider Clinical Psychologist · NPI 1568510212

Dr. Timothy Andrew Ellsworth, PSYD is a Clinical Psychologist in Arlington, Virginia. Qualified in 2002, 24 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
24
Licensed in
DC
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3801 Fairfax Dr 61
Arlington, VA 22203-1762
Phone: (571) 317-1003
Fax: (888) 220-4899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Connecticut Ave Nw Ste 401, Washington, DC 20009-1169 — (571) 317-1003

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY1000280 (DC)

Record details

NPI number1568510212
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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