Healthcare Provider Details

I. General information

NPI: 1891600607
Provider Name (Legal Business Name): MILESTONES PSYCHIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 INGERSOLL AVE
DES MOINES IA
50312-3910
US

IV. Provider business mailing address

308 49TH ST
DES MOINES IA
50312-2508
US

V. Phone/Fax

Practice location:
  • Phone: 515-333-1789
  • Fax:
Mailing address:
  • Phone: 515-240-2022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRENNA CAWTHORN-KEATING
Title or Position: BUSINESS MANAGER
Credential:
Phone: 515-240-2022