Organization Active NPI

Resilience Psychiatry and Psychotherapy LLC

  • Child & Adolescent Psychiatry Physician
  • Springfield, NJ
National Provider Identifier
1053084517
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
RESILIENCE PSYCHIATRY AND PSYCHOTHERAPY LLC
Practice address
150 Morris Ave Ste 103
Springfield, NJ 07081-1315
Phone
(347) 205-1176
Fax
(347) 394-2232
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Dr. Altagracia Gomez Aracena, MDNPI 1346657210
Title
Owner
Phone
(347) 928-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

150 Morris Ave Ste 103
Springfield, NJ 07081-1315

Mailing address

150 Morris Ave Ste 103
Springfield, NJ 07081-1315
Phone (347) 205-1176

National Provider Directory

National Provider Directory

Locations

150 Morris Ave
Ste 103
Springfield, NJ 07081
Phone (908) 337-1519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1053084517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MORRIS AVE STE 103",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811315",
            "telephone_number": "347-205-1176",
            "fax_number": "347-394-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MORRIS AVE STE 103",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811315",
            "telephone_number": "347-205-1176",
            "fax_number": "347-394-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE PSYCHIATRY AND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ ARACENA",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-928-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.