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MR. THEODORE CHRISTOPHER MATAXIS III M.A., L.P.A
NPI 1629109954
Psychologist - Intellectual and Developmental Disabilities in Troy, NC

Active since March 08, 2007
318 N MAIN ST, TROY, NC 27371(910) 576-1188(910) 576-1182 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Theodore Christopher Mataxis Iii M.a., L.p.a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE CHRISTOPHER MATAXIS III M.A., L.P.A (NPI 1629109954) is an individual intellectual and developmental disabilities provider in Troy, North Carolina, licensed in North Carolina (2540) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629109954
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameMR. THEODORE CHRISTOPHER MATAXIS IIICredential: M.A., L.P.A
Location Address318 N MAIN STTroy, NC 27371-3018
Mailing Address7 Fur Ct EPinehurst, NC 28374-8210 · (910) 585-1399
Phone(910) 576-1188
Fax(910) 576-1182
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1629109954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
License✔ Licensed in NC · 2540
Also ListedPsychologistTaxonomy 103T00000X · License 2540 (NC)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2540 (NC)
318 N MAIN ST, Troy, NC 27371
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC
Community/Behavioral Health
318 N MAIN ST
TROY, NC 27371
Montgomery County (910) 576-1188
MELANIE CAMP MSW, LCSWA
Social Worker (Clinical)
318 N MAIN ST
TROY, NC 27371
Montgomery County (336) 465-2294
AMBRAYA TIMMONS MSW, P-LCSW
Counselor
318 N MAIN ST
TROY, NC 27371
Montgomery County (910) 576-1188
NATIONAL MENTOR HEALTHCARE LLC
Counselor (Mental Health)
318 N MAIN ST
TROY, NC 27371
Montgomery County (919) 790-8580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Mataxis's NPI number?

The NPI number for Theodore Mataxis is 1629109954. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Theodore Mataxis located?

Theodore Mataxis practices at 318 N Main St, Troy, NC 27371. The listed phone number is (910) 576-1188.

What is Theodore Mataxis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Theodore Mataxis was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.