OrganizationActive
Ben Gordon Center
NPI 1700037512 · Mental Health Clinic/Center (Including Community Mental Health Center) · Dekalb, IL
Provider details
- NPI number
- 1700037512
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Ben Gordon Center
- Organization subpart
- Yes
- Authorized official
- Kimberly Kruppenbacher, Credentialing Coordinator(815) 756-4875
- License
- A0254001A (IL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense A0254001A (IL)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Health Services Dr
Dekalb, IL 60115-9637
Phone: (815) 756-4875
Fax: (815) 756-2944
Street-level locationGet directions
Mailing address
12 Health Services Dr
Dekalb, IL 60115-9637
Other names (DBA / former)
- Other name
- Kid Care Services
Registry dates
- Enumerated
- 2008-10-10
- Last updated
- 2008-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.