CAMELOT CARE CENTERS, LLC – NPI #1891393781
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

CAMELOT CARE CENTERS, LLC is an AHC clinic located in GRAYSLAKE, IL. NPPES has assigned the NPI number 1891393781 to CAMELOT CARE CENTERS, LLC on October 13, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was previously updated about 5 years ago on Oct 18, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAMELOT CARE CENTERS, LLC below.

NPI Profile for
CAMELOT CARE CENTERS, LLC

NPI Number
1891393781
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAMELOT CARE CENTERS, LLC
Primary location
34121 NORTH ROUTE 45 SUITE 207
GRAYSLAKE, IL 60030
Phone: (847) 993-9894 Fax:
Mailing address
333 W PIERCE RD STE 175
ITASCA, IL 60143-3120
Phone: Fax:
Organization Subpart
Yes - CAMELOT CARE CENTERS, LLC is subpart of another organization.
Authorized Official
RONICA PATEL
EXECUTIVE DIRECTOR
Phone: (630) 773-1985
Updated
Certification Date
Oct 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.