Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Open Space Mental Health LLC

Organization Psychiatry Physician · NPI 1235947524

Open Space Mental Health LLC provides Psychiatry Physician services in Idaho Falls, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 S Holmes Ave
Idaho Falls, ID 83401-5056
Phone: (307) 690-2938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1235947524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Rae — Owner · (307) 690-2938
NPI enumeratedDecember 19, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing addressPo Box 955, Wilson, WY 83014-0955

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