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

Dr. Michael Thomas Churchwell, MD

Individual provider Psychiatry Physician · NPI 1306075270

Dr. Michael Thomas Churchwell, MD is a Psychiatry in Port Washington, Wisconsin. Graduated from University of Chicago, Pritzker School of Medicine in 2009, 17 years ago. Practices with Key Corporation, a 50-clinician group and accepts Medicare assignment. Licensed in Illinois, Minnesota and Wisconsin.

Years since qualifying
17
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL, MN, WI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

121 W Main St
Port Washington, WI 53074-1813
Phone: (262) 284-8200
Fax: (262) 284-8103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 69808 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 125056400 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 67120 (WI)

Record details

NPI number1306075270
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2009
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Key Corporation — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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