Timothy Van Den Berg, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

20 S Santa Cruz Ave Ste 319
Los Gatos, CA 95030-6834

Phone

(408) 391-7730

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embodied Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Los Gatos, CA
  • NPI 1528671161
  NPD
• Embodied Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Gatos, CA
  • NPI 1154889079
  NPD (past)

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1407669278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24911 OUTLOOK TER",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238933",
            "telephone_number": "408-502-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 319",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306834",
            "telephone_number": "408-391-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN BERG",
        "first_name": "TIMOTHY",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Valdivia
• Sarahi Valencia
• Heather Valentine, MFT
• Lindsey Valentine, PT, DPT, CFPS
• Valley Infusion Center
• Robert C Vandenberg, O.D.
• Kevin R. Vandi, P.T.
• Leslie Ann Vanschaack, MD
• Kelly Vargas
• Sara Jane Vargus, CLEC, BCBA

• Addiction (Substance Use Disorder) Counselor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.