Healthcare Provider Details

I. General information

NPI: 1417811183
Provider Name (Legal Business Name): RESILIENT CHILDREN BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 BONITA AVE STE 200
BERKELEY CA
94704-1014
US

IV. Provider business mailing address

PO BOX 86
KENWOOD CA
95452-0086
US

V. Phone/Fax

Practice location:
  • Phone: 415-364-8573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YUHUAN XIE
Title or Position: OWNER
Credential: MD
Phone: 707-696-9884