Camelot Care Centers, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAMELOT CARE CENTERS, INC

Doing business as

Camelot Care Centers, Inc

Practice address

5100 Poplar Ave
Suite 2805
Memphis, TN 38137-4000

Phone

(901) 821-0311

Fax

(901) 821-0312

NPI assigned

Jul 11, 2007

Organization subpart

Yes

Parent organization

PROVIDENCE SERVICE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Leigh Ann Veale, LMFT

Title

Director of Operations

Phone

(615) 370-4228

Specialties & licenses 1

Addresses

Other names 1

• Camelot Care Centers, Inc Doing business as

Part of

Providence Human Services of Wa

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1548469570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 2805",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-821-0311",
            "fax_number": "901-821-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 2805",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-821-0311",
            "fax_number": "901-821-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT CARE CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE SERVICE CORPORATION",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "VEALE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "615-370-4228",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Care Centers, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.