Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Theodore Christopher Mataxis III, MA, LPA

Individual provider Psychologist · NPI 1629109954

Mr. Theodore Christopher Mataxis III, MA, LPA is a Psychologist in Troy, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

318 N Main St
Troy, NC 27371-3018
Phone: (910) 576-1188
Fax: (910) 576-1182
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X · Licence 2540 (NC)
Psychologist Taxonomy 103T00000X · Licence 2540 (NC)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 2540 (NC)

Record details

NPI number1629109954
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPA
Sole proprietorYes
NPI enumeratedMarch 8, 2007
Last updated in NPPESSeptember 11, 2025