Active NPI
Rosebay Behavioral Health
- Psychiatric Residential Treatment Facility
- San Rafael, CA
National Provider Identifier
1710865241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- ROSEBAY BEHAVIORAL HEALTH
- Practice address
- 17 Twin Oaks Ave
San Rafael, CA 94901-1915 - Phone
- (415) 526-6360
- NPI assigned
- Aug 22, 2025
- Organization subpart
- Yes
- Parent organization
- ROSEBAY BEHAVIORAL HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hayden Moser
- Title
- Billing Director
- Phone
- (949) 446-6280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
17 Twin Oaks Ave
San Rafael, CA 94901-1915
Mailing address
828 Mission Ave
San Rafael, CA 94901-3209
Phone (415) 526-6360
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2343368 | Rosebay Behavioral Health LLC | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Rosebay Behavioral Health
- Part of
- Rosebay Behavioral Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- San Anselmo, CA
- NPI 1154178978
-
- Psychiatric Residential Treatment Facility
- San Rafael, CA
- NPI 1215749833
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Mental Health Clinic/Center
- San Anselmo, CA
- NPI 1154178978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755820800000",
"number": "1710865241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 MISSION AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013209",
"telephone_number": "415-526-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 TWIN OAKS AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949011915",
"telephone_number": "415-526-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEBAY BEHAVIORAL HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROSEBAY BEHAVIORAL HEALTH",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A",
"authorized_official_last_name": "MOSER",
"authorized_official_first_name": "HAYDEN",
"authorized_official_title_or_position": "BILLING DIRECTOR",
"authorized_official_telephone_number": "949-446-6280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.