DR. ELIZA S GODFREY PHD
NPI 1689354060
Psychologist in Wauwatosa, WI

Active since July 20, 2023PECOS Enrolled
1250 N 113TH ST STE 200, WAUWATOSA, WI 53226(262) 432-6600(262) 432-6604 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Nov 6, 2024, Jul 20, 2023 (3 updates tracked since 2023).

About Dr. Eliza S Godfrey Phd NPPES

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

DR. ELIZA S GODFREY PHD (NPI 1689354060) is an individual psychologist in Wauwatosa, Wisconsin, licensed in Wisconsin (5351-57) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1689354060
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELIZA S GODFREYCredential: PHD
Location Address1250 N 113TH ST STE 200Wauwatosa, WI 53226-3209
Mailing Address1250 N 113th St Ste 200Wauwatosa, WI 53226-3209 · (262) 432-6600 · Fax (262) 432-6604
Fax(262) 432-6604
Sole ProprietorNo
Enumeration DateJuly 20, 2023
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1689354060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 5351-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1250 N 113TH ST STE 200, Wauwatosa, WI 53226

Secondary Practice Location 1

Location 1903 Mineral Point AveJanesville, WI 53548-2970 · Phone (608) 756-5555 · Fax (608) 756-0174

Other Identifiers 1

Medicaid1689354060NE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eliza S Godfrey Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Eliza Godfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
903 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

Psychologist
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist
1250 N 113TH ST STE 200
MILWAUKEE, WI 53226
Psychologist
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist (Clinical Child & Adolescent)
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist (Clinical)
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226
Psychologist (Clinical Child & Adolescent)
1250 N 113TH ST STE 200
WAUWATOSA, WI 53226

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 Eliza Godfrey's NPI number?

The NPI number for Eliza Godfrey is 1689354060. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Eliza Godfrey located?

Eliza Godfrey practices at 1250 N 113th St Ste 200, Wauwatosa, WI 53226. The listed phone number is (262) 432-6600.

What is Eliza Godfrey's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Eliza Godfrey enrolled in Medicare?

Yes. Eliza Godfrey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eliza Godfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliza Godfrey reassigns Medicare benefits to Mercy Health System Corporation (Janesville, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eliza Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eliza Godfrey accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Eliza Godfrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eliza Godfrey was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.