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LIFE CHANGE ASSOCIATES, PC
NPI 1598077562
Psychiatry & Neurology - Psychiatry in Pocatello, ID

Active since July 07, 2010
1777 E CLARK ST, SUITE 330, POCATELLO, ID 83201(208) 233-5433(877) 284-2783 Get Directions Write a Review

NPPES record last updated: November 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Change Associates, Pc NPPES

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

LIFE CHANGE ASSOCIATES, PC (NPI 1598077562) is a healthcare organization registered as a psychiatry in Pocatello, Idaho and active in the NPI registry since July 2010. The organization lists Deric V Ravsten, Owner, as its authorized official.

NPPES Registry Identity

NPI1598077562
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameLIFE CHANGE ASSOCIATES, PC
Location Address1777 E CLARK ST, SUITE 330Pocatello, ID 83201-3357
Mailing Address1777 E Clark St, Suite 330Pocatello, ID 83201-3357 · (208) 233-5433 · Fax (877) 284-2783
Phone(208) 233-5433
Fax(877) 284-2783
Organization SubpartNo
Authorized OfficialDeric V RavstenOwner · (208) 233-5433
Enumeration DateJuly 7, 2010
Last NPPES UpdateNovember 23, 2013
✔ NPI 1598077562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A 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 and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
1777 E CLARK ST, Pocatello, ID 83201
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

BRENT CHRISTENSEN DPM
Podiatrist
1777 E CLARK ST, SUITE 220
POCATELLO, ID 83201
Bannock County (208) 235-1777
DWIGHT ROMRIELL
Dentist (General Practice)
1777 E CLARK ST, SUITE 240
POCATELLO, ID 83201
Bannock County (208) 234-7246
CHRISTENSEN FOOT & ANKLE CLINIC
Podiatrist
1777 E CLARK ST, SUITE 220
POCATELLO, ID 83201
Bannock County (208) 235-1777

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 Life Change Associates, PC's NPI number?

The NPI number for Life Change Associates, PC is 1598077562. It was assigned to this organization in the NPPES registry on July 7, 2010.

Where is Life Change Associates, PC located?

Life Change Associates, PC is located at 1777 E Clark St Suite 330, Pocatello, ID 83201. The listed phone number is (208) 233-5433.

What is Life Change Associates, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Life Change Associates, PC accept?

Health plans from Moda Health Plan, Inc. list Life Change Associates, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Change Associates, PC was last updated on November 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.