Camelot Care Centers, LLC
Camelot Care Centers, LLC is a healthcare organization registered as Adolescent and Children Mental Health Clinic/Center in Itasca, IL, holding Type 2 (organization) NPI 1093957300 since 2009. The authorized official on file is Ronica Patel, State Executive Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1093957300 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Camelot Care Centers, LLC |
| Parent organization | Pathways Health and Community Support, LLC |
| Practice address | 333 W PIERCE RD, SUITE 175, Itasca, IL, 60143 |
| Phone | 6307731985 |
| Fax | 6307731988 |
| Enumeration date | 2009-04-01 |
| Last updated in NPPES | 2020-06-04 |
Authorized official
| Name | Ronica Patel |
|---|---|
| Title | State Executive Director |
| Phone | 6307731985 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2B05-IPI-141 | Medicaid | IL | — |
Copy-ready billing details
Provider: Camelot Care Centers, LLC NPI: 1093957300 Taxonomy: 261QM0855X (Adolescent and Children Mental Health Clinic/Center) Address: 333 W PIERCE RD, SUITE 175, Itasca, IL, 60143
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619421658 | David Boe | Individual | Social Worker | Itasca, IL |
| 1366996308 | Jordan Maher | Individual | Social Worker | Itasca, IL |
| 1275087215 | Shasheena Polk | Individual | Social Worker | Itasca, IL |
| 1699222802 | Jason Keeler | Individual | Clinical Social Worker | Itasca, IL |
| 1326581117 | Jennifer Beverly | Individual | Mental Health Counselor | Itasca, IL |
Verify this record
Cross-check NPI 1093957300 against the authoritative CMS record: view Camelot Care Centers, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Camelot Care Centers, LLC?
Who is the authorized official for Camelot Care Centers, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-04.