Martha Gitogo

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

613 S 125TH Ave
Avondale, AZ 85323-8447

Phone

(253) 228-7140

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Springs of Joy LLC.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Avondale, AZ
  • NPI 1093206427
  NPD Authorized official
• Springs of Joy LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Goodyear, AZ
  • NPI 1891554366
  NPD Authorized official

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1346964939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S 125TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S 125TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238447",
            "telephone_number": "253-228-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITOGO",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gimo Pharmacuetical Services
• Julie Gines
• Joshua Gipson
• Leslie Giron
• Stacey Giron
• Give Love Assisted Living, LLC
• Anessa Glenn
• Jordyn Glenn
• Clarrissa Gober, NP
• Monalisa Godfrey

• Intellectual & Developmental Disabilities Psychologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Intellectual & Developmental Disabilities Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.