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EKDOM NEUROPSYCHOLOGY GROUP
NPI 1194804914
Clinical Neuropsychologist in Fairfax, VA

Active since November 03, 2006
3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031(703) 573-3575(703) 573-3574 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Ekdom Neuropsychology Group NPPES

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

EKDOM NEUROPSYCHOLOGY GROUP (NPI 1194804914) is a healthcare organization registered as a clinical neuropsychologist in Fairfax, Virginia and active in the NPI registry since November 2006. The organization lists Nicole Hashemian, Owner, as its authorized official.

NPPES Registry Identity

NPI1194804914
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameBARRY B EKDOM PHD, PC
Location Address3040 WILLIAMS DR, SUITE 402Fairfax, VA 22031-4618
Mailing Address3040 Williams Dr, Suite 402Fairfax, VA 22031-4618 · (703) 573-3575 · Fax (703) 573-3574
Phone(703) 573-3575
Fax(703) 573-3574
Organization SubpartNo
Authorized OfficialNicole HashemianOwner · (703) 573-3573
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1194804914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in VA · 081001775
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3040 WILLIAMS DR, Fairfax, VA 22031
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Other Names 1

Doing Business AsEkdom Neuropsychology Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ekdom Neuropsychology Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ekdom Neuropsychology Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Barry Ekdom, PH.D.
Psychologist Billing Independently
NPI 1457532756
3040 WILLIAMS DR SUITE 402
Fairfax, VA 22031
(703) 573-3573
✔ Accepts MedicareSame address
Nicole Hashemian, PSY.D
Clinical Psychologist
NPI 1861008492
3040 WILLIAMS DR STE 402
Fairfax, VA 22031
(703) 573-3673
✔ PECOS✔ Accepts MedicareSame address
Joanna Luzzi, PSY.D.
Clinical Psychologist
NPI 1922651454
3040 WILLIAMS DR STE 402
Fairfax, VA 22031
(703) 573-3573
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Barry B Ekdom Phd, PC's NPI number?

The NPI number for Barry B Ekdom Phd, PC is 1194804914. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Ekdom Neuropsychology Group.

Where is Barry B Ekdom Phd, PC located?

Barry B Ekdom Phd, PC is located at 3040 Williams Dr Suite 402, Fairfax, VA 22031. The listed phone number is (703) 573-3575.

What is Barry B Ekdom Phd, PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Barry B Ekdom Phd, PC enrolled in Medicare?

Yes. Barry B Ekdom Phd, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Barry B Ekdom Phd, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Barry B Ekdom Phd, PC, in Clinical Psychologist and Psychologist Billing Independently. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Barry B Ekdom Phd, PC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.