TARA AGNESHWAR PSY.D
NPI 1336871284
Psychologist - Clinical in Alexandria, VA

Q: What is Tara Agneshwar's NPI number?

The NPI number for Tara Agneshwar is 1336871284. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Tara Agneshwar's specialty?

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

Q: Is Tara Agneshwar enrolled in Medicare?

No. Tara Agneshwar has opted out of Medicare through September 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tara Agneshwar was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 June 29, 2022Opted out of Medicare · through Sep 19, 2027

1221 KING ST, ALEXANDRIA, VA 22314(571) 478-9499 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Sep 8, 2023 (2 updates tracked since 2023).

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About Tara Agneshwar Psy.d NPPES

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

TARA AGNESHWAR PSY.D (NPI 1336871284) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0810008867) and active in the NPI registry since June 2022. She has opted out of Medicare through September 19, 2027.

NPPES Registry Identity

NPI1336871284

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTARA AGNESHWARCredential: PSY.D

Location Address1221 KING STAlexandria, VA 22314-2926

Mailing Address1255 25th St Nw Apt 730Washington, DC 20037-4112 · (607) 221-1468

Phone(571) 478-9499

Sole ProprietorNo

Enumeration DateJune 29, 2022

Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1336871284 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 VA · 0810008867

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.

1221 KING ST, Alexandria, VA 22314

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tara Agneshwar Psy.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 September 19, 2025 through September 19, 2027.

Opt-Out Effective DateSeptember 19, 2025

Opt-Out In Effect ThroughSeptember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

ALYA GASPARD

Psychologist (Clinical)