IndividualActive
Nicholas Petikas, PH.D., ABPP
NPI 1184059263 · Clinical Psychologist · San Diego, CA
Provider details
- NPI number
- 1184059263
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP
- Sex
- Male
- Sole proprietor
- No
- License
- 021404-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Naval Medical Center San Diego
34800 Bob Wilson Dr
San Diego, CA 92134-0001
Phone: (619) 453-6591
Approximate (ZIP-level) locationGet directions
Mailing address
1335 Holly Ave.
San Diego, CA 91932
Registry dates
- Enumerated
- 2013-09-09
- Last updated
- 2022-06-30
- Certified
- 2022-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.