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BEN GORDON CENTER
NPI 1972788925
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dekalb, IL

Active since January 08, 2008
631 S 1ST ST, DEKALB, IL 60115(815) 756-8501(815) 756-5849 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ben Gordon Center NPPES

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

BEN GORDON CENTER (NPI 1972788925) is a healthcare organization registered as a mental health (including community mental health center) in Dekalb, Illinois and active in the NPI registry since January 2008. The organization lists Michael Flora, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1972788925
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY SUPPORT PROGRAM/REALITY HOUSE
Location Address631 S 1ST STDekalb, IL 60115-4117
Mailing Address631 S 1st StDekalb, IL 60115-4117 · (815) 756-8501 · Fax (815) 756-5849
Phone(815) 756-8501
Fax(815) 756-5849
Organization SubpartYesParent: Ben Gordon Center
Authorized OfficialMichael FloraCeo/president · (815) 756-4875
Enumeration DateJanuary 8, 2008
Last NPPES UpdateOctober 8, 2008
✔ NPI 1972788925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · A0254001A
631 S 1ST ST, Dekalb, IL 60115
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Other Names 1

Other NameBen Gordon Center

Other Identifiers 2

Medicaid=========003IL
Medicare PIN207498IL

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.

BEN GORDON CENTER
Preferred Provider Organization
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
RAYA NEWMAN
Social Worker (Clinical)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
JESSICA SEIPP B.A.
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
STACEY LYNN RODRIGUEZ
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
JANICE FOCA-GRON
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
DAVID ROBERTS
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
ASHLEY JEAN SALAZAR BS
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
MS. TRACY SYDNEY KREZEL B.S.
Behavior Technician
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501

Frequently Asked Questions

What is COMMUNITY SUPPORT PROGRAM/REALITY HOUSE's NPI number?

The NPI number assigned to this healthcare provider is 1972788925, enumerated as an "organization" on January 08, 2008.

Where is the provider located?

The provider is located at 631 S 1ST ST DEKALB, IL 60115 and the phone number is (815) 756-8501.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does COMMUNITY SUPPORT PROGRAM/REALITY HOUSE accept?

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