NPI age
1 years
Enumerated 2024-12-19
● Active Type 2 · Organization
Open Space Mental Health Llc
Open Space Mental Health Llc is 1 of 245 psychiatry & neurology organizations in Idaho.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rae
Owner
Last NPPES update
2024-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 245 active psychiatry & neurology providers in Idaho.
NPI age
1 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-12Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
530 S Holmes Ave
Idaho Falls, ID 834015056
Mailing address
Po Box 955
Wilson, WY 830140955
Authorized official
Benjamin G Rae, PMHNP
Owner
📞 3076902938
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Shayna Mickelsen Nurse Practitioner NPI 1639024888
- Benjamin Rae Nurse Practitioner NPI 1770051229
- Jeanette Slater, FNP-C Family Medicine NPI 1265293021
- Cathleen Smith, LMT Massage Therapist NPI 1366045817
Specialties
-
Psychiatry & Neurology PrimaryA 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...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.