Individual provider Active NPI

Alison Jane Musso, PH.D.

  • Cognitive & Behavioral Psychologist
  • Salt Lake City, UT
National Provider Identifier
1346230802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1174072501 Issued in UT
Practice address
1545 E 3300 S
Salt Lake City, UT 84106-3370
Phone
(801) 478-2780
Fax
(801) 478-2781
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 1174072501 UT
Cognitive & Behavioral Psychologist 103TB0200X 1174072501 UT Primary
Clinical Psychologist 103TC0700X 1174072501 UT

Addresses

Primary practice location

1545 E 3300 S
Salt Lake City, UT 84106-3370

Mailing address

2892 Cove LN
Bountiful, UT 84010-2415
Phone (801) 292-7143

Other identifiers 2

IdentifierTypeStateIssuer
11740725003001OtherUTBCBS
Q19324OtherUTSTERLING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040804000804 UT Practitioner - Clinical Psychologist 5092786921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Ohio IncGroup PAC ID 7719325083, 67 clinicians

Practice addresses (Care Compare)

310 E 4500
Suite 600
Murray, UT 84107-4246
Phone (801) 264-9522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1174072501UTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Nov 25, 2024 Accepting new patients
Advanced Behavioral Care, Inc. Adult Development & Aging PastSince Nov 22, 1999 Accepting new patients

Locations

5252 N Edgewood Dr
Ste 365
Provo, UT 84604
Phone (801) 900-5616

845 E 4800 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 264-9522

310 E 4500 S
Ste 600
Salt Lake City, UT 84107
Phone (801) 264-9522

Interoperability endpoints

  • Direct secure messaging: alison.musso.1@28621.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346230802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 COVE LN",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840102415",
            "telephone_number": "801-292-7143",
            "fax_number": "801-478-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063370",
            "telephone_number": "801-478-2780",
            "fax_number": "801-478-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSO",
        "first_name": "ALISON",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "UT",
            "license": "1174072501",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "UT",
            "license": "1174072501",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "1174072501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11740725003001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "Q19324",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.