Active NPI
Utkala Maringanti, LMFT-A
- Family Psychologist
- Lakeway, TX
National Provider Identifier
1609682806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 205322
- Practice address
- 311 Ranch Road 620 S Ste 103
Lakeway, TX 78734-4747 - Phone
- (512) 766-9911
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 205322 | TX | Primary |
Addresses
Primary practice location
311 Ranch Road 620 S Ste 103
Lakeway, TX 78734-4747
Mailing address
2611 Sunset Vista Cir
Spicewood, TX 78669-2086
Phone (650) 309-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205322 | TX | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1609682806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 SUNSET VISTA CIR",
"city": "SPICEWOOD",
"state": "TX",
"postal_code": "786692086",
"telephone_number": "650-309-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 RANCH ROAD 620 S STE 103",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344747",
"telephone_number": "512-766-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINGANTI",
"first_name": "UTKALA",
"credential": "LMFT-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TX",
"license": "205322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.