MUIR WOOD LLC
NPI 1003591397
Psychiatric Residential Treatment Facility in Petaluma, CA

Active since June 15, 2023CLIA Certified · 12 labs
501 SONOMA MOUNTAIN RD, PETALUMA, CA 94954(415) 497-7722 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Muir Wood Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUIR WOOD LLC (NPI 1003591397), doing business as Muir Wood Adolescent And Family Services, is a healthcare organization registered as a psychiatric residential treatment facility in Petaluma, California and active in the NPI registry since June 2023. The organization holds 12 active CLIA laboratory certificates and lists Bryan Bowen, Chief Operatiing Officer, as its authorized official.

NPPES Registry Identity

NPI1003591397
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameMUIR WOOD LLC
Location Address501 SONOMA MOUNTAIN RDPetaluma, CA 94954-9558
Mailing Address201 1st St Ste 111Petaluma, CA 94952-4291 · (415) 497-7722 · Fax (707) 781-4276
Organization SubpartYes
Authorized OfficialBryan BowenChief Operatiing Officer · (415) 497-7722
Enumeration DateJune 15, 2023
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1003591397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
501 SONOMA MOUNTAIN RD, Petaluma, CA 94954

Other Names 1

Doing Business AsMuir Wood Adolescent And Family Services

CLIA Laboratory Certificates CMS CLIA 12

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2320614

Muir Wood Adolescent And Family Services · Riverside, CA
Active · expires Apr 29, 2028
CLIA Number05D2320614
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services1830 Bradley St, Riverside, CA 92504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2328046

Muir Wood Adolescent And Family Services · Fresno, CA
Active · expires Aug 3, 2027
CLIA Number05D2328046
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services8441 N Millbrook Ave Ste 102, Fresno, CA 93720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2324683

Muir Wood Adolescent And Family Services · Petaluma, CA
Active · expires May 28, 2027
CLIA Number05D2324683
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 29, 2025
Certificate Expiration DateMay 28, 2027
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services900 Lohrman Ln, Petaluma, CA 94952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2324282

Muir Wood Adolescent And Family Services · Riverside, CA
Active · expires May 20, 2027
CLIA Number05D2324282
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services2225 Da Vinci Dr, Riverside, CA 92506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2323467

Muir Wood Adolescent And Family Services · Clovis, CA
Active · expires May 6, 2027
CLIA Number05D2323467
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services12820 Auberry Rd, Clovis, CA 93619
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2322980

Muir Wood Adolescent And Family Services · Clovis, CA
Active · expires Apr 29, 2027
CLIA Number05D2322980
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorDavid E. Smith
Laboratory Phone(415) 497-7722
Laboratory LocationMuir Wood Adolescent And Family Services12808 Auberry Rd, Clovis, CA 93619
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Residential Treatment Facility
501 SONOMA MOUNTAIN RD
PETALUMA, CA 94954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muir Wood LLC's NPI number?

The NPI number for Muir Wood LLC is 1003591397. It was assigned to this organization in the NPPES registry on June 15, 2023. The provider is doing business as Muir Wood Adolescent and Family Services.

Where is Muir Wood LLC located?

Muir Wood LLC is located at 501 Sonoma Mountain Rd, Petaluma, CA 94954. The listed phone number is (415) 497-7722.

What is Muir Wood LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Muir Wood LLC hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Muir Wood LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.