Active NPI
Resilience Behavioral Health Georgia
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Peachtree City, GA
National Provider Identifier
1811731235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.