Provider Demographics
NPI:1902929730
Name:BERKO, NELIA HELENE (DMH)
Entity type:Individual
Prefix:DR
First Name:NELIA
Middle Name:HELENE
Last Name:BERKO
Suffix:
Gender:F
Credentials:DMH
Other - Prefix:DR
Other - First Name:HELENE
Other - Middle Name:NELIA
Other - Last Name:SURH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMH
Mailing Address - Street 1:222 OLD FAYETTEVILLE RD
Mailing Address - Street 2:J303
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-5503
Mailing Address - Country:US
Mailing Address - Phone:919-880-9572
Mailing Address - Fax:919-821-1434
Practice Address - Street 1:871 WASHINGTON ST
Practice Address - Street 2:SUITE7
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1255
Practice Address - Country:US
Practice Address - Phone:919-831-5257
Practice Address - Fax:919-821-1434
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2907101YP2500X
CAPSY 8489103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1101XOtherMEDCO
NC1101XOtherBLUE CROSS BLUE SHEILD
NC1101XOtherNC STATE HEALTH PLAN