Individual provider Active NPI

Alison M Cobb, PHD

  • Psychologist
  • Missoula, MT
National Provider Identifier
1538313762
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
391 Issued in MT
Practice address
121 Hickory St
Suite 1
Missoula, MT 59801-1896
Phone
(406) 546-2222
NPI assigned
Nov 14, 2008
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 391 MT Primary
Clinical Psychologist 103TC0700X 391 MT

Addresses

Primary practice location

121 Hickory St
Suite 1
Missoula, MT 59801-1896

Mailing address

121 Hickory St
Suite 1
Missoula, MT 59801-1896
Phone (406) 546-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20081202000395 MT Practitioner - Clinical Psychologist 1456412022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

121 Hickory St
Missoula, MT 59801-1896
Phone (406) 830-3069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
391MTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
121 Psychotherapy PLLC Clinical CurrentSince May 12, 2011 Accepting new patients
Montana Neurobehavioral Specialists Clinical Past Accepting new patients

Locations

121 Hickory St
Ste 1
Missoula, MT 59801
Phone (406) 546-2222

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1538313762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HICKORY ST",
            "address_2": "SUITE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011896",
            "telephone_number": "406-546-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HICKORY ST",
            "address_2": "SUITE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011896",
            "telephone_number": "406-546-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "ALISON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "391",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.