OrganizationActive
Icare Center for Change
NPI 1508554940 · Addiction (Substance Use Disorder) Psychologist · Buhl, ID
Provider details
- NPI number
- 1508554940
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Icare Telecare
- Organization subpart
- Yes
- Authorized official
- Kelly Graff, Owner, Clinician(208) 918-2473
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1689 E 4000 N
Buhl, ID 83316-5647
Phone: (208) 918-2473
Street-level locationGet directions
Mailing address
1689 E 4000 N
Buhl, ID 83316-5647
Other names (DBA / former)
- Doing business as
- Icaretelecare
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.