Individual provider Active NPI

Janice Motoike, PH.D.

  • Counseling Psychologist
  • Gilbert, AZ
National Provider Identifier
1306900501
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3701 Issued in AZ
Practice address
428 S Gilbert Rd
Ste 109-M
Gilbert, AZ 85296-2263
Phone
(480) 313-3080
Fax
(602) 396-5696
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3701 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd
Ste 109-M
Gilbert, AZ 85296-2263

Mailing address

1955 W Baseline Rd
Ste 113-520
Mesa, AZ 85202-9003
Phone (480) 313-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000387 AZ Practitioner - Clinical Psychologist 2567405251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

428 S Gilbert Rd
Suite 109M
Gilbert, AZ 85296-2262
Phone (480) 313-3080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3701AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Janice Motoike, PH.D., P.L.L.C. Counseling CurrentSince Mar 1, 2008 Accepting new patients

Locations

428 S Gilbert Rd
Ste 109M
Gilbert, AZ 85296
Phone (480) 313-3080

1955 W Baseline Rd
Ste 113520
Mesa, AZ 85202

Organizations & group practices 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1306900501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD",
            "address_2": "STE 113-520",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "480-313-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD",
            "address_2": "STE 109-M",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962263",
            "telephone_number": "480-313-3080",
            "fax_number": "602-396-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTOIKE",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.