DR. TAMEKA MALLARD TUCKER PH.D.
NPI 1053664540
Psychologist in Alexandria, VA

Active since October 21, 2012Opted out of Medicare · through Nov 22, 2027
709 PENDLETON ST STE 202, ALEXANDRIA, VA 22314(703) 786-5486(703) 842-8746 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tameka Mallard Tucker Ph.d. NPPES

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

DR. TAMEKA MALLARD TUCKER PH.D. (NPI 1053664540) is an individual psychologist in Alexandria, Virginia and active in the NPI registry since October 2012. She has opted out of Medicare through November 22, 2027.

NPPES Registry Identity

NPI1053664540
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. TAMEKA MALLARD TUCKERCredential: PH.D.
Location Address709 PENDLETON ST STE 202Alexandria, VA 22314-1820
Mailing Address709 Pendleton St Ste 202Alexandria, VA 22314-1820 · (703) 786-5486 · Fax (703) 842-8246
Fax(703) 842-8746
Sole ProprietorNo
Enumeration DateOctober 21, 2012
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
NPI 1053664540 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.
709 PENDLETON ST STE 202, Alexandria, VA 22314

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tameka Mallard Tucker Ph.d. 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 November 22, 2023 through November 22, 2027.

Opt-Out Effective DateNovember 22, 2023
Opt-Out In Effect ThroughNovember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
709 PENDLETON ST STE 202
ALEXANDRIA, VA 22314
Psychologist (Clinical)
709 PENDLETON ST STE 202
ALEXANDRIA, VA 22314

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 Tameka Tucker's NPI number?

The NPI number for Tameka Tucker is 1053664540. It was assigned to this individual provider in the NPPES registry on October 21, 2012.

Where is Tameka Tucker located?

Tameka Tucker practices at 709 Pendleton St Ste 202, Alexandria, VA 22314. The listed phone number is (703) 786-5486.

What is Tameka Tucker's specialty?

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

Is Tameka Tucker enrolled in Medicare?

No. Tameka Tucker has opted out of Medicare through November 22, 2027. 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 Tameka Tucker was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.