Nycole Ann Berkeley

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Phone

(805) 215-6549

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1366070609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 MORNING GLORY WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017645",
            "telephone_number": "805-215-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 KENDALL RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018750",
            "telephone_number": "805-215-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKELEY",
        "first_name": "NYCOLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Benz, PA-C
• Richard Alan Berg, MD
• Steve Berg, CATC
• Berger Family Therapy, Professional Corporation
• Kristina Hibshman Berger, LPCC, LMFT
• Nasseem Amelia Berkman
• Kate Berman
• Katherine Jane Berman, PA-C
• Ceddric Bermudez
• Mariel Bernal

• Day Training/Habilitation Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.