NPI age
3 years
Enumerated 2023-04-25
● Active Type 2 · Organization
Subpart
Icare Center For Change
Icare Center For Change is 1 of 2 psychologist organizations in Idaho.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Graff
Owner, Clinician
Last NPPES update
2023-04-25
Source: monthly bulk 2026-05
How this organization compares
Across 2 active psychologist providers in Idaho.
NPI age
3 years
≈ at median (3 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1689 E 4000 N
Buhl, ID 833165647
Mailing address
1689 E 4000 N
Buhl, ID 833165647
Authorized official
Kelly Graff, APRN-CNS
Owner, Clinician
📞 2089182473
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kelly Graff, APRN-CNS Clinical Nurse Specialist NPI 1326717141
Specialties
-
Psychologist PrimaryA psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1558567107 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
iCareTeleCare
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Icare Telecare.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.