KATHERINE ANN GODFREY MD
NPI 1215064365
Psychiatry & Neurology - Child & Adolescent Psychiatry in Crystal Lake, IL

Active since February 27, 2007
390 E CONGRESS PKWY, SUITE J, CRYSTAL LAKE, IL 60014(815) 356-5050(815) 356-5094 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katherine Ann Godfrey Md NPPES

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

KATHERINE ANN GODFREY MD (NPI 1215064365) is an individual child & adolescent psychiatry provider in Crystal Lake, Illinois, licensed in Illinois (036-107621) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215064365
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKATHERINE ANN GODFREYCredential: MD
Location Address390 E CONGRESS PKWY, SUITE JCrystal Lake, IL 60014-6202
Mailing Address1701 E Woodfield Road, Suite 1000Schaumburg, IL 60173-5113 · (847) 240-2211 · Fax (847) 240-2418
Fax(815) 356-5094
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateDecember 28, 2012
NPI 1215064365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in IL · 036-107621
Definition

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.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 036107621 (IL)
390 E CONGRESS PKWY, Crystal Lake, IL 60014

Other Identifiers 2

Medicare UPIND91973
Medicare PINK36921IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Social Worker
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Psychologist (Clinical)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Counselor (Professional)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Otolaryngology
390 E CONGRESS PKWY, UNIT M
CRYSTAL LAKE, IL 60014
Psychiatry & Neurology (Child & Adolescent Psychiatry)
390 E CONGRESS PKWY, SUITE J
CRYSTAL LAKE, IL 60014
Durable Medical Equipment & Medical Supplies
390 E CONGRESS PKWY, STE M
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215064365, enumerated as an "individual" on February 27, 2007.

The provider is located at 390 E CONGRESS PKWY SUITE J CRYSTAL LAKE, IL 60014 and the phone number is (815) 356-5050.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.