DR. PETER JOSEPH ELLSWORTH (NPI# 1609141282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609141282 |
| Entity Type | Individual |
| Full Name | DR. PETER JOSEPH ELLSWORTH |
| Credential | PHD |
| Practice Address |
4405 E West Hwy Ste 411 Bethesda MD 20814-4535 |
| Mailing Address |
3810 Garfield St Nw Washington DC 20007-1368 |
| Practice Telephone | 2027909725 |
| Mailing Telephone | 2023522203 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2016-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
05429 | MD | Behavioral Health & Social Service Providers |
| Street Address |
4405 E WEST HWY STE 411 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423963 | Heidi Maria Evjen Mattila | Psychologist | 4405 E West Hwy Ste 411, Bethesda, MD 20814-4535 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1851935589 | Elissa Stieglitz | Psychologist | 4915 Elm St, Bethesda, MD 20814-2905 | 2019-11-06 |
| 1588205181 | The Dbt Group, LLC | Psychologist | 7986 Old Georgetown Rd Ste C, Bethesda, MD 20814-2458 | 2019-10-04 |
| 1891264313 | Maxwell Anderson Brooks | Psychologist | 7801 Norfolk Ave Ste 102, Bethesda, MD 20814-6059 | 2018-11-14 |
| 1326599762 | Jessica Jankowski Nysenbaum | Psychologist | 6931 Arlington Rd Ste 309, Bethesda, MD 20814-5285 | 2016-10-20 |
| 1366990129 | Casey Perisin | Psychologist | 7960 Old Georgetown Rd Ste 10b, Bethesda, MD 20814-2445 | 2016-09-21 |
| 1982050282 | Fernanda Bianchi | Psychologist | 4405 E West Hwy Ste 410, Bethesda, MD 20814-4535 | 2016-05-05 |
| 1982016374 | Melanie P Ricaurte | Psychologist | 4905 Del Ray Ave Ste 403, Bethesda, MD 20814-2557 | 2014-05-20 |
| 1356784425 | Michael Feuerstein | Psychologist | 7331 Bannockburn Ridge Ct, Bethesda, MD 20817-5618 | 2013-04-09 |
| 1114267952 | Nancy R Goodman | Psychologist | 6917 Arlington Rd Ste 220, Bethesda, MD 20814-5212 | 2013-02-14 |
| Find all providers in BETHESDA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.