Organization Active NPI

Upstate Behavioral Health

  • Community/Behavioral Health Agency
  • Greenville, SC
National Provider Identifier
1851636062
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11110111 Issued in SC
Legal business name
UPSTATE BEHAVIORAL HEALTH
Practice address
10B Setter LN
Greenville, SC 29607-4200
Phone
(864) 630-8989
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mr. Keith D Oglesby, CAC
Title
Director
Phone
(864) 630-8989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 11110111 SC Primary
Community/Behavioral Health Agency 251S00000X 1210026 SC

Addresses

Primary practice location

10B Setter LN
Greenville, SC 29607-4200

Mailing address

10 B Setter Lane
Greenville, SC 29607
Phone (864) 630-8989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1851636062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 B SETTER LANE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-630-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10B SETTER LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074200",
            "telephone_number": "864-630-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-630-8989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "11110111",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "1210026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.