IndividualActive
Frederick Petty, M.D.
NPI 1023107356 · Psychiatry Physician · Omaha, NE
Provider details
- NPI number
- 1023107356
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 21938 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4101 Woolworth Ave
116a
Omaha, NE 68105-1850
Phone: (402) 346-8800
Fax: (402) 449-0677
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Woolworth Ave
Omaha, NE 68105-1850
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.