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NPI Code Detail

MEDICARE: RESILIENCE MEDICAL, PC

MEDICARE: RESILIENCE MEDICAL, PC
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
1102L00000XPsychoanalyst
2390200000XStudent in an Organized Health Care Education/Training Program
3101YP2500XProfessional Counselor
4106H00000XMarriage & Family Therapist
5101YM0800XMental Health Counselor
6103TC0700XClinical Psychologist
7171M00000XCase Manager/Care Coordinator
8103T00000XPsychologist
91041C0700XClinical Social Worker

General Provider Information

NPI Number : 1982351839
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENCE MEDICAL, PC
Provider Business Mailing Address
First Line : 928 BROADWAY STE 500
Second Line :
City : NEW YORK
State : NY
Zip : 10010-8148
Country : US
Telephone Number : 833-775-6252
Fax Number : 628-263-3658
Provider Business Practice Location Address
First Line : 820 BEAR TAVERN RD
Second Line :
City : EWING
State : NJ
Zip : 08628-1021
Country : US
Telephone Number : 833-775-6252
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHRISTINE CARVILLE
Credential : LCSW
Telephone Number : 833-775-6252
Provider Enumeration Date : 03/09/2022
Last Update Date : 02/24/2026

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