Organization · Type 2 NPI

Muir Wood, Llc.

Adolescent and Children Mental Health Clinic/Center · Petaluma, CA

NPI number 1962016733 Active

Practice location

320 Washington St
Petaluma, CA 94952-2955

Call (415) 497-7722 Map

Mailing address

201 1st St Ste 111
Petaluma, CA 94952-4291

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

NPI record

NPI: 1962016733
Entity type: Organization (Type 2)
Issued: Aug 31, 2020
Last updated: Sep 25, 2025
Status: Active
Subpart: Yes of Muir Wood, Llc.

Other names

Muir Wood Adolescent and Family Services · doing business as

Authorized official

Bryan Bowen
Chief Operating Officer
(415) 497-7722

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1962016733

Muir Wood, Llc.'s National Provider Identifier is 1962016733, issued on Aug 31, 2020. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Petaluma, CA. The record was last updated on Sep 25, 2025.