Provider Demographics
NPI:1518642909
Name:BRINKLEY, SASCHA
Entity Type:Individual
Prefix:
First Name:SASCHA
Middle Name:
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7-9 VINE ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-1294
Mailing Address - Country:US
Mailing Address - Phone:646-610-3755
Mailing Address - Fax:
Practice Address - Street 1:7-9 VINE ST APT 1A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1294
Practice Address - Country:US
Practice Address - Phone:646-610-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional