KATHERINE ANN GODFREY MD NPI 1215064365

NPI Information

NPI: 1215064365
Provider Name: KATHERINE ANN GODFREY, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 356-5050
Get Directions

Katherine Ann Godfrey, MD is a child and adolescent psychiatry psychiatry neurology in Crystal Lake, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Katherine Ann Godfrey, MD NPI is 1215064365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014-202
Phone: (815) 356-5050
Fax: (815) 356-5094

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/28/2012.

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	2084N0400X	Psychiatry & Neurology	Neurology	036107621	ILLINOIS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	036-107621	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D91973	MEDICARE UPIN
2	K36921	MEDICARE PIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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