OrganizationActive
Embodied Recovery, LLC
NPI 1154889079 · Substance Use Disorder Rehabilitation Clinic/Center · Los Gatos, CA
Provider details
- NPI number
- 1154889079
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Nolan, President, Coo(408) 705-4598
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 S Santa Cruz Ave Ste 319
Los Gatos, CA 95030-6834
Phone: (888) 372-3610
Street-level locationGet directions
Mailing address
20 S Santa Cruz Ave Ste 319
Los Gatos, CA 95030-6834
Registry dates
- Enumerated
- 2019-03-10
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.