DR. LISANDRA MENDOZA PSY.D.
NPI 1205408440
Psychologist in St. Petersburg, FL

Active since July 16, 2021PECOS Enrolled
7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702(305) 204-3616(888) 279-6619 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2023, Mar 27, 2023, May 25, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Lisandra Mendoza Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISANDRA MENDOZA PSY.D. (NPI 1205408440) is an individual psychologist in St. Petersburg, Florida, licensed in Florida (PY10974) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205408440
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISANDRA MENDOZACredential: PSY.D.
Location Address7901 4TH ST N STE 300St. Petersburg, FL 33702
Mailing Address7901 4th St N Ste 300St. Petersburg, FL 33702 · (305) 204-3616 · Fax (888) 279-6619
Fax(888) 279-6619
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2021
Last NPPES UpdateJanuary 22, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
NPI 1205408440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY10974
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7901 4TH ST N STE 300, St. Petersburg, FL 33702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisandra Mendoza Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951704899
PECOS Enrollment IDI20210729001328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Nurse Practitioner (Psychiatric/Mental Health)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702
Preventive Medicine (Public Health & General Preventive Medicine)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisandra Mendoza's NPI number?

The NPI number for Lisandra Mendoza is 1205408440. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Lisandra Mendoza located?

Lisandra Mendoza practices at 7901 4th St N Ste 300, St. Petersburg, FL 33702. The listed phone number is (305) 204-3616.

What is Lisandra Mendoza's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lisandra Mendoza enrolled in Medicare?

Yes. Lisandra Mendoza is registered in the Medicare PECOS enrollment system.

What insurance does Lisandra Mendoza accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lisandra Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisandra Mendoza was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.