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OPEN SPACE MENTAL HEALTH LLC
NPI 1235947524
Psychiatry & Neurology - Psychiatry in Idaho Falls, ID

Active since December 19, 2024
530 S HOLMES AVE, IDAHO FALLS, ID 83401(307) 690-2938 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Open Space Mental Health Llc NPPES

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

OPEN SPACE MENTAL HEALTH LLC (NPI 1235947524) is a healthcare organization registered as a psychiatry in Idaho Falls, Idaho and active in the NPI registry since December 2024. The organization lists Benjamin G Rae, Owner, as its authorized official.

NPPES Registry Identity

NPI1235947524
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameOPEN SPACE MENTAL HEALTH LLC
Location Address530 S HOLMES AVEIdaho Falls, ID 83401-5056
Mailing AddressPo Box 955Wilson, WY 83014-0955 · (307) 690-2938
Phone(307) 690-2938
Organization SubpartNo
Authorized OfficialBenjamin G RaeOwner · (307) 690-2938
Enumeration DateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1235947524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
530 S HOLMES AVE, Idaho Falls, ID 83401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

EYE CLINIC OF IDAHO FALLS,PA
Ophthalmology
530 S HOLMES AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-3937
JEANETTE MOSS SLATER FNP-C
Family Medicine
530 S HOLMES AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-2352
CATHLEEN MARIE SMITH LMT
Massage Therapist
530 S HOLMES AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 405-2888
SHAYNA JO MICKELSEN
Nurse Practitioner (Family)
530 S HOLMES AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 529-2352
BENJAMIN GARFIELD RAE IV
Nurse Practitioner (Psychiatric/Mental Health)
530 S HOLMES AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 924-4360

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 Open Space Mental Health LLC's NPI number?

The NPI number for Open Space Mental Health LLC is 1235947524. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Open Space Mental Health LLC located?

Open Space Mental Health LLC is located at 530 S Holmes Ave, Idaho Falls, ID 83401. The listed phone number is (307) 690-2938.

What is Open Space Mental Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Open Space Mental Health LLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.