DR. BARRY B. EKDOM PH.D.
NPI 1457532756
Clinical Neuropsychologist in Fairfax, VA

Q: What is Barry Ekdom's NPI number?

The NPI number for Barry Ekdom is 1457532756. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Barry Ekdom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Barry Ekdom was last updated on June 3, 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.

Active since November 15, 2007Accepts Medicare Assignment

3040 WILLIAMS DR, SUITE 402, FAIRFAX, VA 22031(703) 573-3573(703) 573-3574 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Barry B. Ekdom Ph.d. NPPES

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

DR. BARRY B. EKDOM PH.D. (NPI 1457532756) is an individual clinical neuropsychologist in Fairfax, Virginia, licensed in Virginia (0810001775) and active in the NPI registry since November 2007. He is a graduate of Other (1985).

NPPES Registry Identity

NPI1457532756

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. BARRY B. EKDOMCredential: PH.D.

Location Address3040 WILLIAMS DR, SUITE 402Fairfax, VA 22031-4618

Mailing Address3040 Williams Dr, Suite 402Fairfax, VA 22031-4618 · (703) 573-3573 · Fax (703) 573-3574

Phone(703) 573-3573

Fax(703) 573-3574

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateNovember 15, 2007

Last NPPES UpdateJune 3, 2024

NPPES CertifiedJune 3, 2024

✔ NPI 1457532756 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 · 0810001775

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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Barry B. Ekdom Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608943840

PECOS Enrollment IDI20080930000305

Other Providers at the Same Location NPPES 5

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

BARRY B EKDOM PHD, PC

Clinical Neuropsychologist

3040 WILLIAMS DR, SUITE 402
FAIRFAX, VA 22031

Fairfax County (703) 573-3575

DR. IRENA MORIN FEDOROVSKY PSY.D.

Psychologist (Clinical)

3040 WILLIAMS DR, SUITE # 402
FAIRFAX, VA 22031

Fairfax County (703) 573-3573

DR. MICHELLE SULLIVAN-GAST PSY.D.

Psychologist (Clinical)

3040 WILLIAMS DR, SUITE 402
FAIRFAX, VA 22031

Fairfax County (703) 573-3573

NANA DICKSON, DDS PC

Dentist

3040 WILLIAMS DR, SUITE #201
FAIRFAX, VA 22031

Fairfax County (571) 419-6897

DR. NANA DICKSON D.D.S.

Dentist (General Practice)

3040 WILLIAMS DR, STE. #201
FAIRFAX, VA 22031

Fairfax County (571) 419-6897

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 Ekdom's NPI number?

The NPI number for Barry Ekdom is 1457532756. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Barry Ekdom located?

Barry Ekdom practices at 3040 Williams Dr Suite 402, Fairfax, VA 22031. The listed phone number is (703) 573-3573.

What is Barry Ekdom's specialty?

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

Is Barry Ekdom enrolled in Medicare?

Yes. Barry Ekdom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Barry Ekdom was last updated on June 3, 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.