Organization Active NPI

Resilience Behavioral Health Georgia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peachtree City, GA
National Provider Identifier
1811731235
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESILIENCE BEHAVIORAL HEALTH GEORGIA
Practice address
200 Westpark Dr Ste 100
Peachtree City, GA 30269-3527
Phone
(781) 472-0247
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Matthew Dinicola
Title
Program Director
Phone
(781) 472-0247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

200 Westpark Dr Ste 100
Peachtree City, GA 30269-3527

Mailing address

1600 Providence Hwy Ste 100
Walpole, MA 02081-2557

National Provider Directory

National Provider Directory

Locations

200 Westpark Dr
Ste 100
Peachtree City, GA 30269
Phone (781) 472-0247

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1811731235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PROVIDENCE HWY STE 100",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTPARK DR STE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693527",
            "telephone_number": "781-472-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE BEHAVIORAL HEALTH GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "DINICOLA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "781-472-0247"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.