MATTHEW VENTIMIGLIA, PHD
NPI 1811639644
Clinic/Center - Mental Health (Including Community Mental Health Center) in Royal Oak, MI

Active since April 12, 2022
3031 N WILSON AVE, ROYAL OAK, MI 48073(586) 872-3146 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2023, Feb 14, 2023, Apr 12, 2022 (3 updates tracked since 2022).

About Matthew Ventimiglia, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW VENTIMIGLIA, PHD (NPI 1811639644) is a healthcare organization registered as a mental health (including community mental health center) in Royal Oak, Michigan and active in the NPI registry since April 2022. The organization lists Matthew J Ventimiglia, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1811639644
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMATTHEW VENTIMIGLIA, PHD
Location Address3031 N WILSON AVERoyal Oak, MI 48073-3580
Mailing Address3031 N Wilson AveRoyal Oak, MI 48073-3580 · (586) 872-3146
Organization SubpartNo
Authorized OfficialMatthew J VentimigliaOwner/authorized Official · (586) 872-3146
Enumeration DateApril 12, 2022
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1811639644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3031 N WILSON AVE, Royal Oak, MI 48073

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Ventimiglia, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Matthew Ventimiglia, Phd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1972851517
1080 EMELINE AVE
Santa Cruz, CA 95060
(831) 454-4887
✔ PECOS✔ Accepts Medicare2,087 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Ventimiglia, Phd's NPI number?

The NPI number for Matthew Ventimiglia, Phd is 1811639644. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Matthew Ventimiglia, Phd located?

Matthew Ventimiglia, Phd is located at 3031 N Wilson Ave, Royal Oak, MI 48073. The listed phone number is (586) 872-3146.

What is Matthew Ventimiglia, Phd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Matthew Ventimiglia, Phd enrolled in Medicare?

Yes. Matthew Ventimiglia, Phd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Matthew Ventimiglia, Phd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Matthew Ventimiglia, Phd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Matthew Ventimiglia, Phd accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Matthew Ventimiglia, Phd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Ventimiglia, Phd was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.