Provider Demographics
NPI:1508660192
Name:SYNERGY PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:SYNERGY PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAHAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KABOLI-MONFARED
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:571-436-6575
Mailing Address - Street 1:12664 BRADDOCK FARMS CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-1330
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12664 BRADDOCK FARMS CT
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:VA
Practice Address - Zip Code:20124-1330
Practice Address - Country:US
Practice Address - Phone:202-810-5969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)