Dr Nicholas Constantine Petikas, PHD, ABPP - Psychologist in San Diego, CA

Dr Nicholas Constantine Petikas, PHD, ABPP is a Psychologist - Clinical based in San Diego, California. Dr Nicholas Constantine Petikas is licensed to practice in New York (license number 021404-01) and his current practice location is Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (619) 453-6591.

NPI number for Dr Nicholas Constantine Petikas is 1184059263 and his current mailing address is 1335 Holly Ave., Unit 2, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184059263.

Contact Information

Dr Nicholas Constantine Petikas, PHD, ABPP
Naval Medical Center San Diego, 34800 Bob Wilson Dr,
San Diego, CA 92134-0001
(619) 453-6591
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nicholas Constantine Petikas
GenderMale
SpecialityPsychologist - Clinical
LocationNaval Medical Center San Diego, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184059263
  • Provider Enumeration Date: 09/09/2013
  • Last Update Date: 06/30/2022

Medical Identifiers

Medical identifiers for Dr Nicholas Constantine Petikas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184059263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021404-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Constantine Petikas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicholas Constantine Petikas, PHD, ABPP
1335 Holly Ave., Unit 2,
San Diego, CA 91932

Ph: (516) 369-3092
Dr Nicholas Constantine Petikas, PHD, ABPP
Naval Medical Center San Diego, 34800 Bob Wilson Dr,
San Diego, CA 92134-0001

Ph: (619) 453-6591

Reviews and Comments


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