BEN GORDON CENTER
NPI 1962687913
Clinic/Center - Mental Health (Including Community Mental Health Center) in Genoa, IL

NPI Status: Active since January 08, 2008

Contact Information

599 PEARSON DR
GENOA, IL
ZIP 60135
Phone: (815) 784-6029

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About BEN GORDON CENTER

This page provides the complete NPI Profile along with additional information for Ben Gordon Center, a provider established in Genoa, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1962687913 assigned on January 2008. The practitioner's primary taxonomy code is 261QM0801X with license number A0254001A (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Michael Flora (Ceo/president)

NPI
1962687913
Provider Name
BEN GORDON CENTER
Entity Type
Organization
Location Address
599 PEARSON DR GENOA, IL 60135
Location Phone
(815) 784-6029
Mailing Address
599 PEARSON DR GENOA, IL 60135
Mailing Phone
(815) 784-6029
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-08-2008
Last Update Date
10-08-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
A0254001A
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL FLORA

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(815) 756-4875

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
207498MEDICARE PIN (08)IL 
=========008MEDICAID (05)IL 

Reviews for BEN GORDON CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962687913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221281492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 2 + 8 + 1 + 4 + 9 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1962687913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437176435FAMILY FIRST PHYSICIANS SC
Organization
Family Medicine599 PEARSON DR
GENOA, IL 60135
(815) 784-6300
1821327073MR. MICHAEL EUGENE ANDREWS P.T.
Individual
Physical Therapist599 PEARSON DR
GENOA, IL 60135
(815) 784-2100
1669466801DR. UMESH P GOSWAMI MD
Individual
Pediatrics599 PEARSON DR
GENOA, IL 60135
(815) 784-6437
1932715570 JULIE RENEE LONG APRN, CNP
Individual
Nurse Practitioner599 PEARSON DR
GENOA, IL 60135
(815) 784-6437
1861180283 JORGE MAURICIO TREJO PTA
Individual
Physical Therapy Assistant599 PEARSON DR
GENOA, IL 60135
(630) 933-1500
1801121405 CHRISTINE L. VALENTINE APRN, CNP
Individual
Nurse Practitioner599 PEARSON DR
GENOA, IL 60135
(815) 784-6437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962687913, enumerated in the NPI registry as an "organization" on January 08, 2008

The provider is located at 599 Pearson Dr Genoa, Il 60135 and the phone number is (815) 784-6029

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 08, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.