Inceptus Psychological & Consulting Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004954 Issued in VA

Legal business name

INCEPTUS PSYCHOLOGICAL & CONSULTING SERVICES

Practice address

709 Pendleton St Ste 202
Alexandria, VA 22314-1820

Phone

(703) 786-5486

Fax

(703) 842-8746

NPI assigned

Jun 25, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tameka Mallard Tucker, PH.D.NPI 1053664540

Title

Licensed Clinical Psychologist

Phone

(703) 786-5486

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tameka Mallard Tucker, PH.D.

  • Psychologist
  • Alexandria, VA
  • NPI 1053664540
  NPD Authorized official
• Drew Lomax

  • Counseling Psychologist
  • Gaithersburg, MD
  • NPI 1316499718

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770003311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "703-786-5486",
            "fax_number": "703-842-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "703-786-5486",
            "fax_number": "703-842-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061631",
            "country_code": "US",
            "telephone_number": "202-427-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INCEPTUS PSYCHOLOGICAL & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "MALLARD",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-786-5486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007049",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.