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

NPI Status: Active since June 15, 2023

Contact Information

501 SONOMA MOUNTAIN RD
PETALUMA, CA
ZIP 94954
Phone: (415) 497-7722

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 05D2322403
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 04-20-2027

About MUIR WOOD LLC

This page provides the complete NPI Profile along with additional information for Muir Wood Llc, a provider established in Petaluma, California operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1003591397 assigned on June 2023. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Bryan Bowen Coo (Chief Operatiing Officer)

NPI
1003591397
Provider Legal Name
MUIR WOOD LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
501 SONOMA MOUNTAIN RD PETALUMA, CA 94954
Location Phone
(415) 497-7722
Mailing Address
201 1ST ST STE 111 PETALUMA, CA 94952
Mailing Phone
(415) 497-7722
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-15-2023
Last Update Date
09-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRYAN BOWEN COO

Authorized Official Title
CHIEF OPERATIING OFFICER
Authorized Official Phone
(415) 497-7722

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2322403
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
April 21, 2025
Certificate Expiration Date
April 20, 2027
Laboratory Director
DAVID E. SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Muir Wood Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003591397, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 0 + 9 + 2 + 3 + 1 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1003591397.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003591397, enumerated as an "organization" on June 15, 2023.

The provider is located at 501 SONOMA MOUNTAIN RD PETALUMA, CA 94954 and the phone number is (415) 497-7722.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.