Healthcare Provider Details

I. General information

NPI: 1013040013
Provider Name (Legal Business Name): BARRY S. STERNFELD PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10760 HICKORY RIDGE RD SUITE 211
COLUMBIA MD
21044-3682
US

IV. Provider business mailing address

10760 HICKORY RIDGE RD SUITE 211
COLUMBIA MD
21044-3682
US

V. Phone/Fax

Practice location:
  • Phone: 410-730-0737
  • Fax:
Mailing address:
  • Phone: 410-730-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number00617
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number00617
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number00617
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number00617
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number00617
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: