NPIMap

Organization Active NPI

Resilience Psychotherapy LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1003459694
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENCE PSYCHOTHERAPY LCSW PC
Practice address
928 Broadway Ste 500
New York, NY 10010-8148
Phone
(833) 775-6252
NPI assigned
Oct 25, 2019
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Carville, LCSW-RNPI 1821246448
Title
Ceo
Phone
(917) 674-3421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

928 Broadway Ste 500
New York, NY 10010-8148

Mailing address

928 Broadway Ste 500
New York, NY 10010-8148
Phone (833) 775-6252

Other names 1

  • Resilience Lab Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1003459694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108148",
            "telephone_number": "833-775-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108148",
            "telephone_number": "833-775-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "CARVILLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-674-3421",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Resilience Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.