Individual provider Active NPI

Abdul Ghafoori

  • Clinical Psychologist
  • Manassas, VA
National Provider Identifier
1902789282
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810009031 Issued in VA
Practice address
8700 Centreville Rd Ste 8696
Manassas, VA 20110-8430
Phone
(919) 645-7414
NPI assigned
Jul 26, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810009031 VA Primary

Addresses

Primary practice location

8700 Centreville Rd Ste 8696
Manassas, VA 20110-8430

Mailing address

8700 Centreville Rd Ste 8696
Manassas, VA 20110-8430
Phone (202) 360-0614

Other practice location 1

14737 Truitt Farm Dr
Centreville, VA 20120-5413
Phone (919) 645-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810009031VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Asg Psychological Services, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

8700 Centreville Rd
Ste 8696
Manassas, VA 20110
Phone (202) 360-0614

Organizations & group practices 1

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": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1902789282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTREVILLE RD STE 8696",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108430",
            "telephone_number": "202-360-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTREVILLE RD STE 8696",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108430",
            "telephone_number": "919-645-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14737 Truitt Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201205413",
            "country_code": "US",
            "telephone_number": "919-645-7414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAFOORI",
        "first_name": "ABDUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810009031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.