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CHURCHWELL PSYCHIATRY, S.C.
NPI 1356717151
Clinic/Center - Adult Mental Health in Evanston, IL

Active since August 15, 2015
636 CHURCH ST STE 409A, EVANSTON, IL 60201(312) 239-3951(888) 835-4696 Get Directions Write a Review

NPPES record last updated: August 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Churchwell Psychiatry, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHURCHWELL PSYCHIATRY, S.C. (NPI 1356717151) is a healthcare organization registered as an adult mental health in Evanston, Illinois and active in the NPI registry since August 2015. The organization lists Michael Thomas Churchwell, President, as its authorized official.

NPPES Registry Identity

NPI1356717151
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCHURCHWELL PSYCHIATRY, S.C.
Location Address636 CHURCH ST STE 409AEvanston, IL 60201-4580
Mailing Address636 Church St Ste 409aEvanston, IL 60201-4580 · (312) 239-3951 · Fax (888) 835-4696
Phone(312) 239-3951
Fax(888) 835-4696
Organization SubpartNo
Authorized OfficialMichael Thomas ChurchwellPresident · (312) 239-3951
Enumeration DateAugust 15, 2015
✔ NPI 1356717151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in IL · 042620450
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
636 CHURCH ST STE 409A, Evanston, IL 60201
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Churchwell Psychiatry, S.C.'s NPI number?

The NPI number for Churchwell Psychiatry, S.C. is 1356717151. It was assigned to this organization in the NPPES registry on August 15, 2015.

Where is Churchwell Psychiatry, S.C. located?

Churchwell Psychiatry, S.C. is located at 636 Church St Ste 409A, Evanston, IL 60201. The listed phone number is (312) 239-3951.

What is Churchwell Psychiatry, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Churchwell Psychiatry, S.C. was last updated on August 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.