Provider Demographics
NPI:1508660192
Name:SYNERGY PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:SYNERGY PSYCHOLOGICAL SERVICES
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:MONFARED
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:703-831-2040
Mailing Address - Street 1:10721 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6902
Mailing Address - Country:US
Mailing Address - Phone:703-831-2040
Mailing Address - Fax:571-307-5494
Practice Address - Street 1:10721 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6902
Practice Address - Country:US
Practice Address - Phone:703-831-2040
Practice Address - Fax:571-307-5494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)