Individual provider Active NPI

Travis A Musich, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1295507564
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.021002 Issued in IL
Practice address
332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone
(773) 231-7715
Fax
(773) 337-6253
NPI assigned
Oct 30, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5271-57 WI
Psychologist 103T00000X 071.021002 IL
Clinical Psychologist 103TC0700X 5271-57 WI
Clinical Psychologist 103TC0700X 071.021002 IL Primary
Health Service Psychologist 103TH0100X 5271-57 WI
Health Service Psychologist 103TH0100X 071.021002 IL
Group Psychotherapy Psychologist 103TP2701X 071.021002 IL
Group Psychotherapy Psychologist 103TP2701X 5271-57 WI

Addresses

Primary practice location

332 S Michigan Ave Ste 900
Chicago, IL 60604-4393

Mailing address

332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (773) 231-7715

Other practice location 1

13880 W Russell Rd
Zion, IL 60099-9217
Phone (773) 231-7973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105002609 WI Practitioner - Clinical Psychologist 6406207232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.021002ILMDPsychologist
5271-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Musich Psychotherapy PLLC Psychologist CurrentSince Mar 1, 2025 Accepting new patients
Person-Centered Psychological Services PLLC Clinical PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1295507564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044393",
            "telephone_number": "773-231-7715",
            "fax_number": "773-337-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044393",
            "telephone_number": "773-231-7715",
            "fax_number": "773-337-6253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 W Russell Rd",
            "address_purpose": "LOCATION",
            "city": "Zion",
            "state": "IL",
            "postal_code": "600999217",
            "country_code": "US",
            "telephone_number": "773-231-7973",
            "fax_number": "773-913-0517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSICH",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "5271-57",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.021002",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5271-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.021002",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WI",
            "license": "5271-57",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IL",
            "license": "071.021002",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IL",
            "license": "071.021002",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WI",
            "license": "5271-57",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.