Provider Demographics
NPI:1982719050
Name:BERKERY, ANN CLARKE (PHD, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:CLARKE
Last Name:BERKERY
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SILVER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3233
Mailing Address - Country:US
Mailing Address - Phone:908-598-1289
Mailing Address - Fax:908-598-0413
Practice Address - Street 1:230 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1171
Practice Address - Country:US
Practice Address - Phone:908-464-5711
Practice Address - Fax:908-598-0413
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult