CAMELOT CARE CENTERS, LLC
NPI 1215535786
Clinic/Center - Adolescent and Children Mental Health in Peoria, IL

Active since October 15, 2020
817 W PIONEER PKWY, PEORIA, IL 61615(309) 676-6305 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Oct 18, 2021, Oct 15, 2020 (3 updates tracked since 2020).

About Camelot Care Centers, Llc NPPES

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

CAMELOT CARE CENTERS, LLC (NPI 1215535786) is a healthcare organization registered as an adolescent and children mental health in Peoria, Illinois and active in the NPI registry since October 2020. The organization lists Ronica R Patel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215535786
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCAMELOT CARE CENTERS, LLC
Location Address817 W PIONEER PKWYPeoria, IL 61615-2144
Mailing Address333 W Pierce Rd Ste 175Itasca, IL 60143-3120
Organization SubpartYesParent: Pathways Health And Community Support, Llc.
Authorized OfficialRonica R PatelExecutive Director · (630) 773-1985
Enumeration DateOctober 15, 2020
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1215535786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
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.
817 W PIONEER PKWY, Peoria, IL 61615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camelot Care Centers, LLC's NPI number?

The NPI number for Camelot Care Centers, LLC is 1215535786. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Camelot Care Centers, LLC located?

Camelot Care Centers, LLC is located at 817 W Pioneer Pkwy, Peoria, IL 61615. The listed phone number is (309) 676-6305.

What is Camelot Care Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Camelot Care Centers, LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.