Active NPI
Rose Garden Psychiatric Nursing Services
- Psychiatric/Mental Health Nurse Practitioner
- Danville, CA
National Provider Identifier
1346056215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ROSE GARDEN PSYCHIATRIC NURSING SERVICES
- Practice address
- 4000 Camino Tassajara
Danville, CA 94506-4711 - Phone
- (707) 690-0814
- NPI assigned
- Dec 5, 2024
- 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
- Brian Clukie
- Title
- Administrator
- Phone
- (813) 997-2099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4000 Camino Tassajara
Danville, CA 94506-4711
Mailing address
201 Coggins Dr Apt B305
Pleasant Hill, CA 94523-4573
Phone (707) 690-0814
Other practice location 1
201 Coggins Dr Apt B305
Pleasant Hill, CA 94523-4573
Phone (707) 690-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2120 Contra Costa Blvd
Pleasant Hill, CA 94523
Phone (323) 705-4410
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Danville, CA
- NPI 1245732635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1346056215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 COGGINS DR APT B305",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234573",
"telephone_number": "707-690-0814",
"fax_number": "352-329-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CAMINO TASSAJARA",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945064711",
"telephone_number": "707-690-0814"
}
],
"practiceLocations": [
{
"address_1": "201 Coggins Dr Apt B305",
"address_purpose": "LOCATION",
"city": "Pleasant Hill",
"state": "CA",
"postal_code": "945234573",
"country_code": "US",
"telephone_number": "707-690-0814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROSE GARDEN PSYCHIATRIC NURSING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "CLUKIE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-997-2099"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.