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

Michael Jesse Mendoza, PSYD

Individual provider Clinical Psychologist · NPI 1215189204

Michael Jesse Mendoza, PSYD is a Clinical Psychologist in Tampa, Florida. Qualified in 2007, 19 years ago. Practices with Tampa General Medical Group Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

409 Bayshore Blvd
Tampa, FL 33606-2707
Phone: (813) 844-7137
Fax: (813) 844-4142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY7603 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY7603 (FL)

Record details

NPI number1215189204
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 21, 2008
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Tampa General Medical Group Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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