Provider Demographics
NPI:1558549204
Name:JANICE MOTOIKE, PH.D., P.L.L.C.
Entity Type:Organization
Organization Name:JANICE MOTOIKE, PH.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTOIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-313-3080
Mailing Address - Street 1:1955 W BASELINE RD
Mailing Address - Street 2:STE 113-520
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-9003
Mailing Address - Country:US
Mailing Address - Phone:480-313-3080
Mailing Address - Fax:
Practice Address - Street 1:428 S GILBERT RD
Practice Address - Street 2:STE 109-M
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-2263
Practice Address - Country:US
Practice Address - Phone:480-313-3080
Practice Address - Fax:602-396-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3701103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ120630Medicare UPIN