Active NPI
Resilience Medical PC
- Psychiatry Physician
- Menlo Park, CA
National Provider Identifier
1972490605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- RESILIENCE MEDICAL PC
- Practice address
- 120 Santa Margarita Ave Ste 210
Menlo Park, CA 94025-2725 - Phone
- (833) 775-6252
- NPI assigned
- Jun 24, 2025
- 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
- Christine Carville
- Title
- Cco and Co-Founder
- Phone
- (917) 674-3421
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
120 Santa Margarita Ave Ste 210
Menlo Park, CA 94025-2725
Mailing address
PO Box 24661
New York, NY 10087-4203
Phone (833) 775-6252
National Provider Directory
National Provider DirectoryLocations
120 Santa Margarita Ave
Ste 210
Menlo Park, CA 94025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1972490605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24661",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874203",
"telephone_number": "833-775-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SANTA MARGARITA AVE STE 210",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940252725",
"telephone_number": "833-775-6252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENCE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "CARVILLE",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "CCO AND CO-FOUNDER",
"authorized_official_telephone_number": "917-674-3421"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.