Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Barry B. Ekdom, PHD

Individual provider Clinical Neuropsychologist · NPI 1457532756

Dr. Barry B. Ekdom, PHD is a Clinical Psychologist in Fairfax, Virginia. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
41
Licensed in
VA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3040 Williams Dr Ste 402
Fairfax, VA 22031-4618
Phone: (703) 573-3573
Fax: (703) 573-3574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 0810001775 (VA)

Record details

NPI number1457532756
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 15, 2007
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address3040 Williams Dr, Suite 402, Fairfax, VA 22031-4618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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