SAHAIR KABOLI-MONFARED (LPC) – Clinical Psychologist, NPI 1114177003
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
668 CLINICAL PSYCHOLOGIST in VA
Provider Addresses for SAHAIR KABOLI-MONFARED (LPC)
10721 MAIN ST STE 203
FAIRFAX, VA 220306902
Phone: (703) 831-2040
Fax: (571) 307-5494
Type: Mailing
Prince William Parkway, Marumsco Acres, Woodbridge, Prince William County, Virginia, 22191, United States
WOODBRIDGE, VA 221928100
Phone: (703) 680-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170807000142 | I | Clinical Psychologist | VA | TBD |
| I20250815000833 | I | Clinical Psychologist | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Clinical Psychologist | MD | |
| Clinical Social Worker | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | MD | |
| Clinical Psychologist | VA | |
| Clinical Psychologist | VA |
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