Individual provider Active NPI

Megan Elise Otto Caves, PSYD

  • Clinical Psychologist
  • Ankeny, IA
National Provider Identifier
1639458433
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001268 Issued in IA
Practice address
6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone
(515) 289-1515
Fax
(515) 289-1511
NPI assigned
Aug 10, 2011
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 001268 IA Primary

Addresses

Primary practice location

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903

Mailing address

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone (515) 289-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130823000123 IA Practitioner - Clinical Psychologist 2466695457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birchwood WellnessGroup PAC ID 7214249606, 2 clinicians

Practice addresses (Care Compare)

6950 NE 14TH St
Suite 36
Ankeny, IA 50023-8903
Phone (515) 289-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001268IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birchwood Wellness Psychologist CurrentSince May 10, 2015 Accepting new patients
Center Associates PastSince Sep 19, 2022 Accepting new patients

Locations

6950 NE 14th St
Ste 36
Ankeny, IA 50023
Phone (515) 289-1515

6900 NE 14th St
Ste 29
Ankeny, IA 50023
Phone (515) 289-1515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1639458433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVES",
        "first_name": "MEGAN",
        "middle_name": "ELISE OTTO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.