UPSTATE PSYCHIATRIC CONSULTING LLC NPI 1205670122

NPI Information

  • NPI: 1205670122
  • Provider Name: UPSTATE PSYCHIATRIC CONSULTING LLC
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Organization
  • Address: 301 HALTON RD STE J
    GREENVILLE, SC
    ZIP 29607
  • Phone: (864) 964-7600

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NPI Details

UPSTATE PSYCHIATRIC CONSULTING LLC is a geriatric psychiatry psychiatry neurology in Greenville, SC. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. UPSTATE PSYCHIATRIC CONSULTING LLC NPI is 1205670122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 HALTON RD STE J
GREENVILLE, SC
ZIP 29607-498
Phone: (864) 964-7600
Fax: (864) 964-7700

The provider's authorized official is Violeta Nistor .
The authorized official title is Owner and has the following contact phone number (864) 964-7600.

The enumeration date for this NPI number is 6/24/2024 and was last updated on 8/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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