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 is a Psychiatry Physician 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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