Muir Wood LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

MUIR WOOD LLC

Practice address

1733 Skillman LN
Petaluma, CA 94952-1250

Phone

(310) 351-9588

NPI assigned

Jun 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Bowen, COO

Title

Chief Operating Officer

Phone

(415) 497-7722

Specialties & licenses 2

Addresses

Other names 1

• Muir Wood Adolescent Family Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1043997125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 1ST ST STE 111",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524291",
            "telephone_number": "855-684-7966",
            "fax_number": "707-781-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 SKILLMAN LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521250",
            "telephone_number": "310-351-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1743 Skillman",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94952",
            "country_code": "US",
            "telephone_number": "310-351-9588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUIR WOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "415-497-7722",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muir Wood Adolescent Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Araya Moua, OTR/L
• Stephanie Moyado
• Sahar Mozaffar
• Modafar Abdalla Ayed Mqatash, PHARMD
• Muir Wood LLC
• Muir Wood LLC
• Muir Wood LLC
• Muir Wood LLC
• Muir Wood LLC
• Muir Wood, LLC.

• Psychiatric Residential Treatment Facility in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.