Active NPI
Upstate Behavioral Health
- Community/Behavioral Health Agency
- Greenville, SC
National Provider Identifier
1851636062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 11110111
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.