Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Liz Lugo-Gonzalez

Individual provider Psychologist · NPI 1255610531

Mayra Liz Lugo-Gonzalez is a Clinical Psychologist in Tampa, Florida. Qualified in 2010, 16 years ago. Practices with Thrive Behavioral Sciences- Orlando LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
16
Licensed in
FL, PR
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

5510 N Hesperides St
Tampa, FL 33614-5414
Phone: (813) 467-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Marginal Carretera #2 Km. 84.7, Hatillo, PR 00659 — (787) 310-9876

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY11197 (FL)
Psychologist Taxonomy 103T00000X · Licence 3900 (PR)

Record details

NPI number1255610531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2011
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Thrive Behavioral Sciences- Orlando Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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