Organization Active NPI

Rosebay Behavioral Health

  • Psychiatric Residential Treatment Facility
  • San Rafael, CA
National Provider Identifier
1710865241
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2343368Rosebay Behavioral Health LLC17 Twin Oak Ave, San Rafael, CA 94901Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rosebay Behavioral Health3 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.