NPIMap

Organization Active NPI

Camelot Community Care

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1639413859
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00000000 Issued in FL
Legal business name
CAMELOT COMMUNITY CARE
Practice address
1925 S Perimeter Rd
Fort Lauderdale, FL 33309-7122
Phone
(954) 958-0988
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ana Gabriela Joseph, LCSW
Title
Supervisor
Phone
(954) 958-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 00000000 FL Primary

Addresses

Primary practice location

1925 S Perimeter Rd
Fort Lauderdale, FL 33309-7122

Mailing address

199 Caroline Dr
West Palm Beach, FL 33413-1816
Phone (973) 563-0138

National Provider Directory

National Provider Directory

Locations

1925 S Perimeter Rd
Ft Lauderdale, FL 33309
Phone (954) 270-7786

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1639413859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CAROLINE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131816",
            "telephone_number": "973-563-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 S PERIMETER RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333097122",
            "telephone_number": "954-958-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "GABRIELA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "954-958-0988",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.