Brielle Summer Clarke

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

264 N Hidden CT
Egg Harbor City, NJ 08215-3443

Phone

(609) 892-5069

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1376202655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N HIDDEN CT",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153443",
            "telephone_number": "609-892-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N HIDDEN CT",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153443",
            "telephone_number": "609-892-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "BRIELLE",
        "middle_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS BLUE SHIELD",
            "identifier": "NJX3HZN03701960",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://speechlanguageassociates.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "204 Ark Rd Ste 105C",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080543190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Career Opportunity Development, Inc.
• Richard Thomas Carlson Jr., D.C.
• Chona Santos-Miranda M.D.PC (Egg Harbor Medical Center)
• Marie Cidelca
• Adrianne Ciuba
• Competent Nursing Staff LLC
• Mary Ann Copperman
• Lisa Cordasco, LCSW LCADC
• Kelly A Dalrymple, LPN
• Breanna M Davis

• Occupational Therapist in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.