Individual provider Active NPI

Austin Peter Giacomantonio, MA LLP

  • Psychologist
  • Oak Park, MI
National Provider Identifier
1811728819
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361008241 Issued in MI
Practice address
25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297
Phone
(248) 788-4300
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361008241 MI Primary

Addresses

Primary practice location

25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297

Mailing address

22600 Hall Rd Ste 201
Clinton Township, MI 48036-1173
Phone (810) 328-3477

Other practice location 1

22600 Hall Rd Ste 201
Clinton Township, MI 48036-1173
Phone (800) 693-1916

Other names 1

  • Austin Peter Vilk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361008241MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Equip Counseling Psychologist PastSince Aug 1, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1811728819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 HALL RD STE 201",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361173",
            "telephone_number": "810-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371297",
            "telephone_number": "248-788-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22600 Hall Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361173",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIACOMANTONIO",
        "first_name": "AUSTIN",
        "middle_name": "PETER",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361008241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "VILK",
            "middle_name": "PETER",
            "credential": "MA TLLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.