# BIRCHWOOD WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124405055
- **Authorized official:** MEGAN ELISE OTTO CAVES (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (515) 289-1515

## Contact information

- **Practice address:** 6950 NE 14TH ST STE 36, ANKENY, IA 50023-8903
- **Practice address phone:** (515) 289-1515
- **Practice address fax:** (515) 289-1511
- **Mailing address:** 6950 NE 14TH ST STE 36, ANKENY, IA 50023-8903
- **Mailing address phone:** (515) 289-1515
- **Mailing address fax:** (515) 289-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 001268 | IA | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | G-108504 | IA | — |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 07/30/2021