Active NPI
N Otoupal, PLLC
- Clinical Social Worker
- San Marcos, TX
National Provider Identifier
1992138283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- N OTOUPAL, PLLC
- Practice address
- 102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076 - Phone
- (719) 501-3337
- NPI assigned
- Aug 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nan Otoupal, LCSW
- Title
- Sole Member
- Phone
- (719) 501-3337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076
Mailing address
102 Wonder World Dr # 304-146
San Marcos, TX 78666-6076
Phone (719) 501-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329161901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
75 Loop 150 W
Ste G
Bastrop, TX 78602
Phone (512) 337-4130
102 Wonder World Dr
#304146
San Marcos, TX 78666
Phone (719) 501-3337
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bastrop, TX
- NPI 1598033888
-
- Psychiatry Physician
- Bastrop, TX
- NPI 1134157183
-
- Psychiatry Physician
- Bryan, TX
- NPI 1972630507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1992138283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WONDER WORLD DR # 304-146",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666076",
"telephone_number": "719-501-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WONDER WORLD DR # 304-146",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666076",
"telephone_number": "719-501-3337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N OTOUPAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-09",
"last_updated": "2023-12-19",
"certification_date": "2023-12-15",
"status": "A",
"authorized_official_last_name": "OTOUPAL",
"authorized_official_first_name": "NAN",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "719-501-3337",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329161901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.