MEDICARE: RESILIENT CHILDREN BEHAVIORAL HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1417811183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT CHILDREN BEHAVIORAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 86
Second Line	:
City	:	KENWOOD
State	:	CA
Zip	:	95452-0086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 BONITA AVE STE 200
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1014
Country	:	US
Telephone Number	:	415-364-8573
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. YUHUAN XIE
Credential	:	MD
Telephone Number	:	707-696-9884

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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