MICHAEL JESSE MENDOZA PSY.D.
NPI 1215189204
Psychologist in Tampa, FL

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
409 BAYSHORE BLVD, TAMPA, FL 33606(813) 844-7137(813) 844-4142 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2025, Jun 11, 2021 (2 updates tracked since 2021).

About Michael Jesse Mendoza Psy.d. NPPES

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

MICHAEL JESSE MENDOZA PSY.D. (NPI 1215189204) is an individual psychologist in Tampa, Florida, licensed in Florida (PY7603) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1215189204
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL JESSE MENDOZACredential: PSY.D.
Location Address409 BAYSHORE BLVDTampa, FL 33606-2707
Mailing AddressPo Box 1289Tampa, FL 33601-1289 · (813) 844-7712 · Fax (813) 844-4142
Fax(813) 844-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 21, 2008
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1215189204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY7603
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY7603 (FL)
409 BAYSHORE BLVD, Tampa, FL 33606

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 and accepts Medicare assignment

Michael Jesse Mendoza Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729245626
PECOS Enrollment IDI20120203000725
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services23 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

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.

Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606
Transplant Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Internal Medicine (Gastroenterology)
409 BAYSHORE BLVD
TAMPA, FL 33606
Transplant Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606

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 Michael Mendoza's NPI number?

The NPI number for Michael Mendoza is 1215189204. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Michael Mendoza located?

Michael Mendoza practices at 409 Bayshore Blvd, Tampa, FL 33606. The listed phone number is (813) 844-7137.

What is Michael Mendoza's specialty?

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

Is Michael Mendoza enrolled in Medicare?

Yes. Michael Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Mendoza accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Michael 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.

Is Michael Mendoza affiliated with any hospitals?

According to CMS data, Michael Mendoza is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mendoza was last updated on February 3, 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.