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CAMELOT CARE CENTERS, LLC
NPI 1710217336
Clinic/Center - Adolescent and Children Mental Health in Matteson, IL

Active since January 04, 2010
4747 LINCOLN MALL DR STE 305, MATTESON, IL 60443(708) 747-7250(708) 647-7258 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2020, Aug 27, 2019, Feb 22, 2019 (3 updates tracked since 2019).

About Camelot Care Centers, Llc NPPES

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

CAMELOT CARE CENTERS, LLC (NPI 1710217336) is a healthcare organization registered as an adolescent and children mental health in Matteson, Illinois and active in the NPI registry since January 2010. The organization lists Ronica R Patel, State Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710217336
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCAMELOT CARE CENTERS, LLC
Location Address4747 LINCOLN MALL DR STE 305Matteson, IL 60443-3814
Mailing Address333 W Pierce Rd Ste 175Itasca, IL 60143-3120 · (708) 747-7250 · Fax (708) 647-7258
Phone(708) 747-7250
Fax(708) 647-7258
Organization SubpartYesParent: Pathways Health And Community Support, Llc.
Authorized OfficialRonica R PatelState Executive Director · (630) 773-1985
Enumeration DateJanuary 4, 2010
Last NPPES UpdateJune 4, 20203 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1710217336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4747 LINCOLN MALL DR STE 305, Matteson, IL 60443
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Other Identifiers 1

Medicaid2B05-IPI-141IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMELOT CARE CENTERS, LLC
Clinic/Center (Adolescent and Children Mental Health)
4747 LINCOLN MALL DR STE 305
MATTESON, IL 60443
Cook County (708) 747-7250

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 1710217336. It was assigned to this organization in the NPPES registry on January 4, 2010.

Where is Camelot Care Centers, LLC located?

Camelot Care Centers, LLC is located at 4747 Lincoln Mall Dr Ste 305, Matteson, IL 60443. The listed phone number is (708) 747-7250.

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 June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.