MEDICARE: BRENDAN JAMES CLARKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7524	MA
2	101YP2500X	Professional Counselor	LPCC14461	CA

General Provider Information

NPI Number	:	1588866834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDAN JAMES CLARKE

Provider Business Mailing Address
First Line	:	26 WARWICK ST # 1
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02145-3510
Country	:	US
Telephone Number	:	617-501-5633
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N PASS AVE APT A
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4254
Country	:	US
Telephone Number	:	617-501-5633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	04/21/2026

Similar Medicare Providers

1245801745 — TIFFANY GALLARZO
Practice Location Address:

2550 N HOLLYWOOD WAY STE 301
BURBANK, CA
91505-5025

Practice Phone: 866-727-8274
Practice Fax:

1235625211 — AZEEN NAFISI PSYD, LP
Practice Location Address:

191 S BUENA VISTA ST STE 300
BURBANK, CA
91505-4556

Practice Phone: 925-282-1778
Practice Fax:

1851811228 — TARSA BARNES LPCC
Practice Location Address:

191 S BUENA VISTA ST STE 300
BURBANK, CA
91505-4556

Practice Phone: 925-282-1778
Practice Fax:

1992196661 — DR. KELLY H WUN MD
Practice Location Address:

2625 W ALAMEDA AVE STE 116
BURBANK, CA
91505-4815

Practice Phone: 818-901-6600
Practice Fax:

1104316827 — VARGO PHYSICAL THERAPY, INC
Practice Location Address:

3425 W VICTORY BLVD
BURBANK, CA
91505-1545

Practice Phone: 818-955-8855
Practice Fax: 818-955-8833

1013851567 — JENNIFER GERARDO
Practice Location Address:

3210 W BURBANK BLVD STE B
BURBANK, CA
91505-2200

Practice Phone: 818-638-9586
Practice Fax:

Directions to “ BRENDAN JAMES CLARKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.