NPIMap

Organization Active NPI

Tampa General Medical Group Inc

Doing business as TGMG Psychology Westshore

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1174234355
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Doing business as
TGMG Psychology Westshore
Practice address
1411 N West Shore Blvd Ste 115
Tampa, FL 33607-4564
Phone
(813) 844-3541
Fax
(813) 844-4283
NPI assigned
Dec 8, 2022
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TAMPA GENERAL MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Travis Riad ChangNPI 1770743197
Title
VP Healthcare Design
Phone
(813) 844-3829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1411 N West Shore Blvd Ste 115
Tampa, FL 33607-4564

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other names 1

  • TGMG Psychology Westshore Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tampa General Medical Group47 organizations share this tax ID, including this one
Part of
Tampa General Medical Group

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

1411 N West Shore Blvd
Tampa, FL 33607
Phone (813) 506-4419

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1174234355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N WEST SHORE BLVD STE 115",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074564",
            "telephone_number": "813-844-3541",
            "fax_number": "813-844-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TRAVIS RIAD",
        "authorized_official_title_or_position": "VP HEALTHCARE DESIGN",
        "authorized_official_telephone_number": "813-844-3829"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMG Psychology Westshore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TGMG Psychology Westshore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.