Open Space Mental Health LLC
NPI 1235947524 · Psychiatry Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Open Space Mental Health LLC is a Psychiatry Physician organization in Idaho Falls, ID (NPI 1235947524).
Provider details
- NPI number
- 1235947524
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Benjamin Rae, Owner(307) 690-2938
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-12-19
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Frequently asked questions
- What is Open Space Mental Health LLC's NPI number?
- Open Space Mental Health LLC's National Provider Identifier (NPI) is 1235947524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Open Space Mental Health LLC?
- Open Space Mental Health LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Open Space Mental Health LLC located?
- Open Space Mental Health LLC's practice location on file with NPPES is 530 S Holmes Ave, Idaho Falls, ID 83401-5056.
- What is Open Space Mental Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Open Space Mental Health LLC is (307) 690-2938.
- Does Open Space Mental Health LLC accept Medicare?
- Open Space Mental Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Open Space Mental Health LLC?
- The authorized official listed on Open Space Mental Health LLC's NPPES record is Benjamin Rae, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Open Space Mental Health LLC's NPI active?
- Yes — Open Space Mental Health LLC's NPI (1235947524) is active in the NPPES registry as of the last update on 2024-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.