Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birch Behavioral Medicine, PLLC

Organization Nurse Practitioner · NPI 1588126478

Birch Behavioral Medicine, PLLC is a Nurse Practitioner in White Bear Lake, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1310 Highway 96 E Ste 104A
White Bear Lake, MN 55110-3618
Phone: (651) 905-3858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1588126478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Bailey — Certified Nurse Practitioner · (651) 905-3858
NPI enumeratedApril 1, 2019
Last updated in NPPESMay 13, 2019
Mailing address1310 Highway 96 E Ste 104a, White Bear Lake, MN 55110-3618

Other providers in White Bear Lake