Camelot Community Care

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH11357 Issued in FL

Legal business name

CAMELOT COMMUNITY CARE

Practice address

1925 S Perimeter Rd
Suite 120
Fort Lauderdale, FL 33309-7122

Phone

(954) 958-0988

Fax

(954) 958-3527

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Disorbo, LMHC

Title

Executive Director

Phone

(954) 958-0988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1881942928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 S. PERIMETER ROAD",
            "address_2": "SUITE 120",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-958-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 S PERIMETER RD",
            "address_2": "SUITE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333097122",
            "telephone_number": "954-958-0988",
            "fax_number": "954-958-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "DISORBO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-958-0988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Patricia Camargo, O.D.
• Alejandro Enrique Cambara, M,D
• Cambridge Behavioral Services LLC
• Marlene Camejo, RN
• Camelot Community Care
• Camelot Community Care, Inc
• Camelot Community Care, Inc
• Jessica Camenisch, RBT
• John Cameron, DPM
• Camilo Ruiz DO PA

• Community/Behavioral Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.