Active NPI
Celal Perihan
- Psychologist
- Pocatello, ID
National Provider Identifier
1780565895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7971750
- Practice address
- 805 N Arthur Ave
Pocatello, ID 83204-2803 - Phone
- (208) 760-2146
- NPI assigned
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7971750 | ID | Primary |
Addresses
Primary practice location
805 N Arthur Ave
Pocatello, ID 83204-2803
Mailing address
1776 Churchill Downs
Pocatello, ID 83201-7107
Phone (208) 317-7263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7971750 | ID | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Spectrum Therapy | Current | Accepting new patients |
Locations
805 N Arthur Ave
Pocatello, ID 83204
Phone (208) 274-5925
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Pocatello, ID
- NPI 1790668069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1780565895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 CHURCHILL DOWNS",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832017107",
"telephone_number": "208-317-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N ARTHUR AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832042803",
"telephone_number": "208-760-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERIHAN",
"first_name": "CELAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "7971750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.