Fort Physicians & Professionals PLLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

FORT PHYSICIANS & PROFESSIONALS PLLC

Practice address

7140 Oakmont Boulevard
Fort Worth, TX 76132

Phone

(817) 678-7428

Fax

(682) 707-5750

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Miss Alice Ann Kuchinskas

Title

Payer Relations

Phone

(562) 544-7823

Specialties & licenses 5

Addresses

Tax ID family

Fort Physicians Professionals PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Physicians & Professionals PLLC

  • Child & Adolescent Psychiatry Physician
  • Fort Worth, TX
  • NPI 1750900478
  NPD tax ID

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1942839113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32302 ALIPAZ ST SPC 41",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754158",
            "telephone_number": "562-544-7823",
            "fax_number": "949-485-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 OAKMONT BOULEVARD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-678-7428",
            "fax_number": "682-707-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PHYSICIANS & PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "KUCHINSKAS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PAYER RELATIONS",
        "authorized_official_telephone_number": "562-544-7823",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nicole Forsyth
• Fort Austin Limited Partnership
• Fort Healthcare LLC
• Fort Healthcare LLC
• Fort Physicians & Professionals PLLC
• Fort Wellness, PLLC
• Fort Worth Allergy and Asthma Associates, LLP
• Fort Worth Birthing & Wellness Center
• Fort Worth Brain & Spine Institute, LLP
• Fort Worth Brief Therapy Center

• Addiction Medicine (Psychiatry & Neurology) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.