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SYNERGY PSYCHOLOGICAL SERVICES
NPI 1508660192
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA

Active since April 02, 2025
10721 MAIN ST STE 203, FAIRFAX, VA 22030(703) 831-2040(571) 307-5494 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2025, Sep 5, 2025, Aug 8, 2025 and 1 more (4 updates tracked since 2025).

About Synergy Psychological Services NPPES

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

SYNERGY PSYCHOLOGICAL SERVICES (NPI 1508660192) is a healthcare organization registered as a mental health (including community mental health center) in Fairfax, Virginia and active in the NPI registry since April 2025. The organization lists Sahair Monfared, Owner, as its authorized official.

NPPES Registry Identity

NPI1508660192
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSYNERGY PSYCHOLOGICAL SERVICES
Location Address10721 MAIN ST STE 203Fairfax, VA 22030-6902
Mailing Address10721 Main St Ste 203Fairfax, VA 22030-6902 · (703) 831-2040 · Fax (571) 307-5494
Phone(703) 831-2040
Fax(571) 307-5494
Organization SubpartNo
Authorized OfficialSahair MonfaredOwner · (703) 831-2040
Enumeration DateApril 2, 2025
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1508660192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
10721 MAIN ST STE 203, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synergy Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Synergy Psychological Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Karen Fitzgerald, PHD
Clinical Psychologist
NPI 1639239510
10721 MAIN ST STE 203
Fairfax, VA 22030
(702) 831-2040
✔ PECOS✔ Accepts MedicareSame address
Travis Flower, PSY.D., J.D.
Clinical Psychologist
NPI 1699259812
10721 MAIN ST STE 203
Fairfax, VA 22030
(302) 388-4488
✔ PECOS✔ Accepts MedicareSame address
Sahair Kaboli-Monfared, LPC
Clinical Psychologist
NPI 1114177003
10721 MAIN ST STE 203
Fairfax, VA 22030
(703) 831-2040
✔ PECOS✔ Accepts MedicareSame address
Brian Levine, PSYD
Clinical Psychologist
NPI 1619997855
10721 MAIN ST STE 203
Fairfax, VA 22030
(703) 831-2040
✔ PECOS✔ Accepts MedicareSame address
Yorvska Salazar, PSY.D., LPC
Mental Health Counselor
NPI 1457430290
10721 MAIN ST STE 203
Fairfax, VA 22030
(703) 831-2040
✔ PECOSSame address
Hali Watson, LCPC, LGPAT
Mental Health Counselor
NPI 1124617774
604 SOLAREX CT UNIT 201
Frederick, MD 21703
(443) 615-6185
✔ PECOS39 mi

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 Synergy Psychological Services's NPI number?

The NPI number for Synergy Psychological Services is 1508660192. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Synergy Psychological Services located?

Synergy Psychological Services is located at 10721 Main St Ste 203, Fairfax, VA 22030. The listed phone number is (703) 831-2040.

What is Synergy Psychological Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Synergy Psychological Services enrolled in Medicare?

Yes. Synergy Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Synergy Psychological Services. 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. The largest specialties are Clinical Psychologist (4) and Mental Health Counselor (2). Of these, 5 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 Synergy Psychological Services was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.