Individual provider · Type 1 NPI
Theodore Christopher Mataxis Iii, M.A., L.P.A
Intellectual & Developmental Disabilities Psychologist · Troy, NC
NPI number
1629109954
Active
Practice location
318 N Main St
Troy, NC 27371-3018
Fax (910) 576-1182
Mailing address
7 Fur Ct E
Pinehurst, NC 28374-8210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 2540 (NC) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 2540 (NC) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 2540 (NC) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
4 other providers at this address
- National Mentor Healthcare LLCMental Health Counselor Troy, NC NPI 1851436034
- Pinnacle Family Services of North Carolina LLCCommunity/Behavioral Health Agency Troy, NC NPI 1073981817
- Ambraya Timmons, MSW, P-LCSWCounselor Troy, NC NPI 1750692547
- Melanie Camp, MSW, LCSWAClinical Social Worker Troy, NC NPI 1346627353
About NPI 1629109954
Theodore Christopher Mataxis Iii, M.A., L.P.A's National Provider Identifier is 1629109954, issued on Mar 8, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Troy, NC. The record was last updated on Sep 11, 2025.