Our Place Adolescent and Young Adult Health, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OUR PLACE ADOLESCENT AND YOUNG ADULT HEALTH, PLLC

Practice address

4200 S Hulen St Ste 450
Fort Worth, TX 76109-4910

Phone

(817) 524-1811

NPI assigned

Jan 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Parcells, MD

Title

Owner

Phone

(832) 865-8371

Specialties & licenses 1

Addresses

Other names 1

• Girls to Women/Young Men's Health and Wellness Fort Worth Former legal business name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joyce Keck Rafati, M.D.

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1881999613
  NPD (past)
• Adele Therese Reeder, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1679872105
  NPD (past)
• Sarah Stone, M.D.

  • Pediatrics Physician
  • Friendswood, TX
  • NPI 1669745204
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1396506010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 450",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094910",
            "telephone_number": "817-637-2965",
            "fax_number": "817-377-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 450",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094910",
            "telephone_number": "817-524-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PLACE ADOLESCENT AND YOUNG ADULT HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "PARCELLS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-865-8371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girls to Women/Young Men's Health and Wellness Fort Worth",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Agunbiade Blessing Otuyemi
• Vanessa Otzenberger Rodriguez, SLP-ASSISTANT
• Aaron Taylor Oubre, M.D.
• Macmoni H Ouk, PHARMD, RPH.
• Our Loving Abode, Inc
• Our Place Parenting Center
• Sarah Oushy, DMD
• Outpatient Physical Therapy
• Natalie R Ovcharov, LCSW
• Gregory John Overbeek, MD

• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.