Resiliency Village

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESILIENCY VILLAGE

Practice address

13707 Jenny Lind Road
Sonora, CA 95370-9522

Phone

(209) 559-0802

NPI assigned

Mar 31, 2023

Last updated

Jun 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark A Dyken

Title

Executive Director

Phone

(209) 559-0802

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1225733108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "SOULSBYVILLE",
            "state": "CA",
            "postal_code": "953720523",
            "telephone_number": "209-559-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 JENNY LIND ROAD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709522",
            "telephone_number": "209-559-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "DYKEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-559-0802"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Nora Reichle, PHARM D
• Susan Jane Reid, L.C.S.W.
• Robert I. Reina, M.D.
• James K Reinhardt, CADC-CAS
• Resilience Counseling Center, Inc.
• Ralph Edward Retherford, M.D.
• Revitalized Family Care
• Susan Rezin, LMFT
• Sami Rhodes
• Richa Mishra DDS Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sonora, CA
• Providers in Sonora, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.