Organization Active NPI

Fog & Fern Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olney, IL
National Provider Identifier
1033043757
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FOG & FERN PSYCHIATRY, PLLC
Practice address
1707 E Main St Ste 8
Olney, IL 62450-3156
Phone
(618) 602-2632
NPI assigned
Jun 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krystal Volk, APRNNPI 1639776297
Title
Pmhnp-BC
Phone
(618) 602-2632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1707 E Main St Ste 8
Olney, IL 62450-3156

Mailing address

7443 E Dundas LN
Claremont, IL 62421-2110
Phone (618) 602-2632

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1033043757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7443 E DUNDAS LN",
            "city": "CLAREMONT",
            "state": "IL",
            "postal_code": "624212110",
            "telephone_number": "618-602-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E MAIN ST STE 8",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624503156",
            "telephone_number": "618-602-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOG & FERN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "618-602-2632",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.