| Upstate Psychiatric Associates Pa | |
|
1330 Boiling Springs Rd Suite 2800 Spartanburg SC 29303-4201 | |
| (864) 585-0328 | |
| (864) 585-8808 |
| Full Name | Upstate Psychiatric Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1330 Boiling Springs Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | John Christopher Caston (PSYCHIATRIST) |
| Authorized Official Contact | 8645850328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Psychiatric Associates Pa 1330 Boiling Springs Rd Suite 2800 Spartanburg SC 29303-4201 Ph: (864) 585-0328 | Upstate Psychiatric Associates Pa 1330 Boiling Springs Rd Suite 2800 Spartanburg SC 29303-4201 Ph: (864) 585-0328 |
| NPI Number | 1205874716 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 01/31/2012 |
| Medicare PECOS PAC ID | 7214950872 |
|---|---|
| Medicare Enrollment ID | O20060110000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205874716 | NPI | - | NPPES |
| 6P0224 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6355 (South Carolina) | Primary |
| Provider Name | John C Caston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992703128 PECOS PAC ID: 9931122595 Enrollment ID: I20120202000682 |
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