Healthcare Provider Details
I. General information
NPI: 1497670236
Provider Name (Legal Business Name): KINDER PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8296 OLD COURTHOUSE RD STE C
VIENNA VA
22182-3852
US
IV. Provider business mailing address
8296 OLD COURTHOUSE RD STE C
VIENNA VA
22182-3852
US
V. Phone/Fax
- Phone: 703-594-1460
- Fax:
- Phone: 703-594-1460
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SARA
BAHRAINI
Title or Position: PSYCHIATRIST/OWNER
Credential: MD
Phone: 703-594-1460