NPIMap

Organization Active NPI

Camelot Care Centers, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Olympia Fields, IL
National Provider Identifier
1740888205
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CAMELOT CARE CENTERS, LLC
Practice address
20000 Governors Dr Ste 301
Olympia Fields, IL 60461-3003
Phone
(708) 747-7250
NPI assigned
Oct 15, 2020
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Ronica R Patel
Title
Executive Director
Phone
(630) 773-1985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

20000 Governors Dr Ste 301
Olympia Fields, IL 60461-3003

Mailing address

333 W Pierce Rd Ste 175
Itasca, IL 60143-3120

National Provider Directory

National Provider Directory
Tax ID family
Camelot Care Services21 organizations share this tax ID, including this one
Part of
Camelot Care Centers LLC

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

4747 Lincoln Mall Dr
Ste 305
Matteson, IL 60443
Phone (708) 283-9999

20000 Governors Dr
Ste 301
Olympia Fields, IL 60461

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1740888205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W PIERCE RD STE 175",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 GOVERNORS DR STE 301",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604613003",
            "telephone_number": "708-747-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT CARE CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.",
        "enumeration_date": "2020-10-15",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-773-1985"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.