Organization Active NPI

Janice Motoike, PH.D., P.L.L.C.

  • Counseling Psychologist
  • Gilbert, AZ
National Provider Identifier
1558549204
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
Legal business name
JANICE MOTOIKE, PH.D., P.L.L.C.
Practice address
428 S Gilbert Rd
Ste 109-M
Gilbert, AZ 85296-2263
Phone
(480) 313-3080
Fax
(602) 396-5696
NPI assigned
Feb 5, 2008
Last updated
Jan 8, 2013By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Janice Motoike, PHDNPI 1306900501
Title
Member
Phone
(480) 313-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000122 AZ Part B Supplier - Clinic/Group Practice 1850476888 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

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

1955 W Baseline Rd
Ste 113520
Mesa, AZ 85202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1558549204",
    "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": {
        "organization_name": "JANICE MOTOIKE, PH.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "MOTOIKE",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-313-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.