Vicki Nichole Petropoulos, M.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27825 Issued in CA

Practice address

505 N Euclid St
Anaheim, CA 92801-5506

Phone

(714) 450-4210

NPI assigned

Sep 7, 2010

Last updated

Sep 27, 2018By the provider in NPPES

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1184931545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28580 EVENING BREEZE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015506",
            "telephone_number": "714-450-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROPOULOS",
        "first_name": "VICKI",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Peterson
• Jeffrey Peterson, M.D.
• John Steven Peterson, DC
• Scott Thomas Peterson, LCSW
• Hannah Lynn Petrenko, MSN, RN, FNP-C
• Annie Petrossian
• Ani Petrosyan
• Carmen M Petrus, P.A.
• Pardis Pezeshki Rad
• Meagan Marguerite Pezeshkian, PA-C

• Clinical Psychologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.