Healthcare Provider Details

I. General information

NPI: 1689712739
Provider Name (Legal Business Name): BERKO PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6575 ASHTON LN
SOLON OH
44139-3213
US

IV. Provider business mailing address

6575 ASHTON LN
SOLON OH
44139-3213
US

V. Phone/Fax

Practice location:
  • Phone: 440-668-8564
  • Fax: 440-498-1720
Mailing address:
  • Phone: 440-668-8564
  • Fax: 440-498-1720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIC HARLAN BERKO
Title or Position: OWNER
Credential:
Phone: 440-668-8564