Individual provider Active NPI

Sahair Kaboli-Monfared, LPC

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1114177003
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004621 Issued in VA
Practice address
10721 Main St Ste 203
Fairfax, VA 22030-6902
Phone
(703) 831-2040
Fax
(571) 307-5494
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000829 MD
Clinical Psychologist 103TC0700X 0810004621 VA Primary
Clinical Psychologist 103TC0700X 05304 DC

Addresses

Primary practice location

10721 Main St Ste 203
Fairfax, VA 22030-6902

Mailing address

10721 Main St Ste 203
Fairfax, VA 22030-6902
Phone (703) 831-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170807000142 VA Practitioner - Clinical Psychologist 8022389279 Reassigns benefits to 1 organization
I20250815000833 DC Practitioner - Clinical Psychologist 8022389279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Psychological ServicesGroup PAC ID 1254839624, 4 clinicians
Woodbridge Psychological Associates PCGroup PAC ID 1052689379, 8 clinicians

Practice addresses (Care Compare)

10721 Main St
Fairfax, VA 22030-6902
Phone (703) 831-2040

12664 Braddock Farms CT
Clifton, VA 20124-1330

4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100
Phone (703) 680-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05304DCMDClinical Psychologist
PSY1000829MDMDClinical Psychologist
0810004621VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Psychological Services CurrentSince Jun 9, 2025 Accepting new patients
Woodbridge Psychological Associates, P.C. Clinical CurrentSince Jun 9, 2017 Accepting new patients

Locations

10721 Main St
Ste 203
Fairfax, VA 22030
Phone (703) 273-5900

4320 Prince William Pkwy
Ste 109
Woodbridge, VA 22192
Phone (703) 680-4200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1114177003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306902",
            "telephone_number": "703-831-2040",
            "fax_number": "571-307-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306902",
            "telephone_number": "703-831-2040",
            "fax_number": "571-307-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABOLI-MONFARED",
        "first_name": "SAHAIR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "PSY1000829",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004621",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "05304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.