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ICARE CENTER FOR CHANGE
NPI 1508554940
Psychologist - Addiction (Substance Use Disorder) in Buhl, ID

Active since April 25, 2023

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Icare Center For Change NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICARE CENTER FOR CHANGE (NPI 1508554940), doing business as Icaretelecare, is a healthcare organization registered as an addiction (substance use disorder) in Buhl, Idaho and active in the NPI registry since April 2023. The organization lists Kelly Graff, Owner, Clinician, as its authorized official.

NPPES Registry Identity

NPI1508554940
Entity TypeOrganization
Primary Taxonomy103TA0400X
Legal Business NameICARE CENTER FOR CHANGE
Location Address1689 E 4000 NBuhl, ID 83316-5647
Mailing Address1689 E 4000 NBuhl, ID 83316-5647 · (208) 918-2473
Phone(208) 918-2473
Organization SubpartYesParent: Icare Telecare
Authorized OfficialKelly GraffOwner, Clinician · (208) 918-2473
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1508554940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A 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 addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
1689 E 4000 N, Buhl, ID 83316
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Other Names 1

Doing Business AsIcaretelecare

Other Identifiers 1

Medicaid1558567107ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY K GRAFF APRN-CNS
Clinical Nurse Specialist (Pediatrics)
1689 E 4000 N
BUHL, ID 83316
Twin Falls County (208) 340-0622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icare Center For Change's NPI number?

The NPI number for Icare Center For Change is 1508554940. It was assigned to this organization in the NPPES registry on April 25, 2023. The provider is doing business as iCareTeleCare.

Where is Icare Center For Change located?

Icare Center For Change is located at 1689 E 4000 N, Buhl, ID 83316. The listed phone number is (208) 918-2473.

What is Icare Center For Change's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Icare Center For Change was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.