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

Mr. Travis Lewellen Otto, PSYD

Individual provider Clinical Psychologist · NPI 1093065955

Mr. Travis Lewellen Otto, PSYD is a Clinical Psychologist in Tampa, Florida. Qualified in 2010, 16 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2012
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

2505 Crowder Ln
Tampa, FL 33629-6253
Phone: (813) 361-4809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY8595 (FL)

Record details

NPI number1093065955
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESSeptember 16, 2014

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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