| Dr Matthew James Ventimiglia, PHD | |
|
1080 Emeline Ave, Santa Cruz, CA 95060-1966 | |
| (831) 454-4887 | |
| Not Available |
| Full Name | Dr Matthew James Ventimiglia |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1080 Emeline Ave, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972851517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301014794 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Entity Name | Matthew Ventimiglia, Phd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811639644 PECOS PAC ID: 1658743091 Enrollment ID: O20230210001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew James Ventimiglia, PHD 620 W Hazelhurst St, Ferndale, MI 48220-1887 Ph: (586) 872-3146 | Dr Matthew James Ventimiglia, PHD 1080 Emeline Ave, Santa Cruz, CA 95060-1966 Ph: (831) 454-4887 |
Dr. Mackenzie Scott Steiner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 2343, Santa Cruz, CA 95063 Phone: 512-789-7055 | |
Dr. Christine Marie Fahrenbach, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 725 Front St, Ste 200, Santa Cruz, CA 95060 Phone: 831-457-6601 Fax: 831-459-7504 | |
Dr. Lisa Gutierrez Wang, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Avenue, Building K, Santa Cruz, CA 95060 Phone: 831-454-4948 Fax: 831-454-4916 | |
Dr. Jerry Solomon, JERRY SOLOMON Psychologist Medicare: Not Enrolled in Medicare Practice Location: 407 Avalon St, Santa Cruz, CA 95060 Phone: 831-425-8785 Fax: 831-425-2308 | |
Cassy Buckingham, MA, PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 Potrero St Ste 29-307, Santa Cruz, CA 95060 Phone: 831-331-9202 | |
Lily M Rich, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 648 Western Dr, Santa Cruz, CA 95060 Phone: 831-325-8838 | |
Thomas Butz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Montclair Dr, Santa Cruz, CA 95060 Phone: 831-566-9588 |