Upstate Psychiatric Consulting LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

UPSTATE PSYCHIATRIC CONSULTING LLC

Practice address

4120 Clemson Blvd Ste I
Anderson, SC 29621-1176

Phone

(864) 964-7600

NPI assigned

Jun 24, 2024

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Violeta Nistor, MDNPI 1265750277

Title

Owner

Phone

(864) 964-7600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Violeta Nistor, MD

  • Geriatric Psychiatry Physician
  • Anderson, SC
  • NPI 1265750277
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1205670122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E GREENVILLE ST STE D",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214838",
            "telephone_number": "864-964-7600",
            "fax_number": "864-964-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CLEMSON BLVD STE I",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211176",
            "telephone_number": "864-964-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PSYCHIATRIC CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "NISTOR",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-964-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Upstate Tarheels, Inc. (Home Instead Anderson)
• Upstate Testing & Evaluation Center LLC
• Upstate Wellness Center LLC
• Upstate Wellness Solutions, LLC (Wellspring Therapeutic Massage)

• Geriatric Psychiatry Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Geriatric Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.