NPI age
15 years
Enumerated 2010-07-07
● Active Type 2 · Organization
Life Change Associates, Pc
Life Change Associates, Pc is 1 of 245 psychiatry & neurology organizations in Idaho.
Primary specialty
Psychiatry & Neurology
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ravsten
Owner
Last NPPES update
2013-11-23
Source: monthly bulk 2026-05
How this organization compares
Across 245 active psychiatry & neurology providers in Idaho.
NPI age
15 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 34% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1777 E Clark St, Suite 330
Pocatello, ID 832013357
Mailing address
1777 E Clark St, Suite 330
Pocatello, ID 832013357
Authorized official
Deric V Ravsten, DO
Owner
📞 2082335433
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Brent Christensen, DPM Podiatrist NPI 1487688990
- Dwight Romriell Dentist NPI 1487760450
Specialties
-
Psychiatry & Neurology PrimaryA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
-
CounselorDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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