DEKALB BEHAVIORAL HEALTH FOUNDATION INC. NPI 1255703450

NPI Information

  • NPI: 1255703450
  • Provider Name: DEKALB BEHAVIORAL HEALTH FOUNDATION, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: NORTHWESTERN MEDICINE BEN GORDON CENTER
  • Address: 12 HEALTH SERVICES DR
    DEKALB, IL
    ZIP 60115
  • Phone: (815) 756-4875

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NPI Details

DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. is a mental health (including community mental health center) clinic center in Dekalb, IL. DEKALB BEHAVIORAL HEALTH FOUNDATION, INC. NPI is 1255703450. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwestern Medicine Ben Gordon Center.

The provider's business location address is:

12 HEALTH SERVICES DR
DEKALB, IL
ZIP 60115
Phone: (815) 756-4875

The provider's authorized official is Bettyjo Fortune .
The authorized official title is Financial Assessor and has the following contact phone number (815) 756-4875.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 7/23/2018.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
11255703450MEDICAIDILLINOIS

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: 3/30/2025

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