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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Tara Banks Wallace, PSY.D.

Clinical Child & Adolescent Psychologist in Fairfax, VA · enumerated 2011 · practices at Gil Institute for Trauma Recovery and Education, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457644585

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Registry record

Entity type Individual (Type 1)
Name Tara Banks Wallace
Credential PSY.D.
Sex Female
Practice address Fairfax, VA, 22031
Phone (571) 393-0075
Enumeration date May 23, 2011
Last updated in NPPES May 23, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 0810004361 (VA) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tara Wallace practice?
The practice location on file with NPPES is in Fairfax, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Tara Wallace?
The National Provider Identifier (NPI) for Tara Wallace is 1457644585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-23.