DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. PETER JOSEPH ELLSWORTH PHD

MEDICARE: DR. PETER JOSEPH ELLSWORTH PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist05429MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BU71-0001OTHERMDCAREFIRST BLUECROSS BLUESHIELD

General Provider Information

NPI Number : 1609141282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER JOSEPH ELLSWORTH PHD
Provider Business Mailing Address
First Line : 3810 GARFIELD ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-1368
Country : US
Telephone Number : 202-352-2203
Fax Number :
Provider Business Practice Location Address
First Line : 1350 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-1736
Country : US
Telephone Number : 202-790-9725
Fax Number : 202-342-2415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 09/11/2025

Similar Medicare Providers

1750409694 — DR. CHRISTINE DENISE HEALY-JOHNSON PSY.D.
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 202-680-0890
Practice Fax:
1952900110 — BETSY MENCHER, PH.D. PLLC
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 202-969-2274
Practice Fax:
1588265821 — SARAH MILLER LICSW
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 202-855-7743
Practice Fax:
1821690322 — BEWILBERTLLC
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 240-391-7350
Practice Fax:
1154088557 — DR. DEIRDRE ANNE GAUGHAN PSYD
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 914-260-0727
Practice Fax:
1366124398 — DR. CHIARA ABBATELLI PSYD
Practice Location Address:
1350 CONNECTICUT AVE NW STE 500
WASHINGTON, DC
20036-1736
Practice Phone: 202-969-2274
Practice Fax:

Directions to “ DR. PETER JOSEPH ELLSWORTH PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.