CHURCHWELL PSYCHIATRY S.C. NPI 1356717151

NPI Information

NPI: 1356717151
Provider Name: CHURCHWELL PSYCHIATRY, S.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
636 CHURCH ST STE 409A
EVANSTON, IL
ZIP 60201
Phone: (312) 239-3951
Get Directions

CHURCHWELL PSYCHIATRY, S.C. is an adult mental health clinic center in Evanston, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHURCHWELL PSYCHIATRY, S.C. NPI is 1356717151. The provider is registered as an organization entity type.

The provider's business location address is:

636 CHURCH ST STE 409A
EVANSTON, IL
ZIP 60201-580
Phone: (312) 239-3951
Fax: (888) 835-4696

The provider's authorized official is Michael Thomas Churchwell .
The authorized official title is President and has the following contact phone number (312) 239-3951.

The enumeration date for this NPI number is 8/15/2015 and was last updated on 8/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	042620450	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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