CAMELOT COMMUNITY CARE (NPI# 1881942928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881942928 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE |
| Practice Address |
1925 S Perimeter Rd Suite 120 Fort Lauderdale FL 33309-7122 |
| Mailing Address |
1925 S. Perimeter Road Suite 120 Coral Springs FL 33309 |
| Practice Telephone | 9549580988 |
| Practice Fax Number | 9549583527 |
| Mailing Telephone | 9549580988 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | MRS. MICHELE DISORBO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9549580988 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH11357 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043568371 | Camelot Community Care | Community/Behavioral Health | 4910 Creekside Dr, Suite D, Clearwater, FL 33760-4023 | 2012-08-16 |
| 1679581250 | Camelot Community Care | Counselor | 4910 Creekside Dr Ste D, Clearwater, FL 33760-4034 | 2006-08-03 |
| 1497387104 | Camelot Community Care | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2020-02-11 |
| 1639413859 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2012-11-15 |
| 1780933861 | Camelot Community Care | Social Worker | 6416 Melaleuca Lane, Greenacres, FL 33464 | 2012-09-05 |
| 1063771780 | Camelot Community Care | Case Management | 7162 Reading Rd, Suite 300, Cincinnati, OH 45237-3838 | 2012-05-15 |
| 1639406093 | Camelot Community Care | Community/Behavioral Health | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2009-11-05 |
| 1679797492 | Camelot Community Care | Community/Behavioral Health | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-12 |
| 1427171594 | Camelot Community Care | Social Worker | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Camelot Community Care Inc. | 4910-D Creekside Drive, Clearwater, Florida 33760 |
| Indiana Business Entities | CAMELOT COMMUNITY CARE, INC. | 4910-d Creekside Drive, Clearwater, FL 33760 |
| Street Address |
1925 S PERIMETER RD SUITE 120 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932764487 | Kim Mowatt | Social Worker | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2019-05-09 |
| 1033581020 | Monique Janese Alexander | Counselor | 1925 S Perimeter Rd, 120, Fort Lauderdale, FL 33309-7122 | 2015-10-29 |
| 1992177703 | Chrystal Yau | Counselor | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2015-10-20 |
| 1154741569 | Joanne Smith | Counselor | 1925 S Perimeter Rd, Suite 120, Fort Lauderdale, FL 33309-7122 | 2014-04-24 |
| 1639413859 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2012-11-15 |
| 1609125871 | Christy Lubin | Marriage & Family Therapist | 1925 S Perimeter Rd, Suite 120, Fort Lauderdale, FL 33309-7122 | 2012-09-04 |
| 1003164138 | Montez Willa Thomasson | Social Worker | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2012-08-21 |
| 1417204314 | Lourdes Zapata | Counselor | 1925 S Perimeter Rd, Suite 120, Fort Lauderdale, FL 33309-7122 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080461 | Northeast Family Services of Florida, Inc. | Community/Behavioral Health | 1122 Ne 18th Ct, Fort Lauderdale, FL 33305-3862 | 2020-07-17 |
| 1689184186 | Innovative Psych Solutions, Inc | Community/Behavioral Health | 110 Se 6th St Ste 1900, Fort Lauderdale, FL 33301-5005 | 2017-10-10 |
| 1245697606 | Childnet, Inc. | Community/Behavioral Health | 1100 W Mcnab Rd, Fort Lauderdale, FL 33309-1116 | 2016-01-15 |
| 1336504786 | South Florida Wellness Network, Inc | Community/Behavioral Health | 2901 W Cypress Creek Rd Ste 105, Fort Lauderdale, FL 33309-1730 | 2015-12-29 |
| 1770921967 | Carmen L. Galano, Psyd, LLC | Community/Behavioral Health | 1130 Sw 30th St, Fort Lauderdale, FL 33315-2924 | 2013-06-10 |
| 1205174877 | Life At Seven Springs | Community/Behavioral Health | 4367 N Federal Hwy, Suite 201, Fort Lauderdale, FL 33308-5213 | 2013-01-16 |
| 1821333717 | Broward Behavioral Health Coalition, Inc. | Community/Behavioral Health | 1715 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2012-12-03 |
| 1245588441 | Blue Moon Senior Counseling, LLC. | Community/Behavioral Health | 900 Ne 18th Ave Apt 1207, Fort Lauderdale, FL 33304-3054 | 2012-08-17 |
| 1245595024 | Ami Kids Greater Fort Lauderdale | Community/Behavioral Health | 3220 Sw 4th Ave, Fort Lauderdale, FL 33315-3019 | 2012-07-09 |
| 1033391727 | Broward House, Inc. | Community/Behavioral Health | 501 Se 18th Ct, Fort Lauderdale, FL 33316-2833 | 2007-12-04 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on CAMELOT COMMUNITY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.