VINE PSYCHIATRIC ASSOCIATES, LLC
NPI 1891270435
Psychiatry & Neurology - Psychiatry in Centreville, VA

Q: What is Vine Psychiatric Associates, LLC's NPI number?

The NPI number for Vine Psychiatric Associates, LLC is 1891270435. It was assigned to this organization in the NPPES registry on September 29, 2018.

Q: What is Vine Psychiatric Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since September 29, 2018

14631 ROUTE 29 STE 209, CENTREVILLE, VA 20121(703) 830-1800(703) 830-1800 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 13, 2024, Feb 3, 2020, Jul 2, 2019 and 1 more (4 updates tracked since 2018).

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About Vine Psychiatric Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE PSYCHIATRIC ASSOCIATES, LLC (NPI 1891270435) is a healthcare organization registered as a psychiatry in Centreville, Virginia and active in the NPI registry since September 2018. The organization lists Young Hoon Bae, Owner, as its authorized official.

NPPES Registry Identity

NPI1891270435

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameVINE PSYCHIATRIC ASSOCIATES, LLC

Location Address14631 ROUTE 29 STE 209Centreville, VA 20121-5827

Mailing Address14631 Route 29 Ste 209Centreville, VA 20121-5827 · (703) 830-1800 · Fax (703) 830-1801

Phone(703) 830-1800

Fax(703) 830-1800

Organization SubpartNo

Authorized OfficialYoung Hoon BaeOwner · (703) 830-1800

Enumeration DateSeptember 29, 2018

Last NPPES UpdateJune 13, 20244 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1891270435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

14631 ROUTE 29 STE 209, Centreville, VA 20121

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vine Psychiatric Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vine Psychiatric Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Young Bae, MD

Psychiatry

NPI 1619931680

14631 ROUTE 29 STE 209
Centreville, VA 20121

(703) 830-1800

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vine Psychiatric Associates, LLC's NPI number?

The NPI number for Vine Psychiatric Associates, LLC is 1891270435. It was assigned to this organization in the NPPES registry on September 29, 2018.

Where is Vine Psychiatric Associates, LLC located?

Vine Psychiatric Associates, LLC is located at 14631 Route 29 Ste 209, Centreville, VA 20121. The listed phone number is (703) 830-1800.

What is Vine Psychiatric Associates, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Vine Psychiatric Associates, LLC enrolled in Medicare?

Yes. Vine Psychiatric Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vine Psychiatric Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Vine Psychiatric Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vine Psychiatric Associates, LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.