Matthew Ventimiglia, PHD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MATTHEW VENTIMIGLIA, PHD

Practice address

3031 N Wilson Ave
Royal Oak, MI 48073-3580

Phone

(586) 872-3146

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Ventimiglia, PHDNPI 1972851517

Title

Owner/Authorized Official

Phone

(586) 872-3146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew James Ventimiglia, PH.D.

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1972851517

  MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1811639644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N WILSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733580",
            "telephone_number": "586-872-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 N WILSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733580",
            "telephone_number": "586-872-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW VENTIMIGLIA, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "VENTIMIGLIA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "586-872-3146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinu M Mathew, DPT
• Maryam Samir Yousif Matloub
• Matt Sweet MSW PC
• Kevin Mattar, MD
• Matthew a Ziegler MD PLLC
• Matthew'S Endless Possibilities LLC
• Joseph Matthews
• Mark Alan Matthews, MA, LPC
• Katerina Kitsios Mattia, DO
• Ryan Matusik

• Mental Health Clinic/Center (Including Community Mental Health Center) in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.