Mr Theodore Christopher Mataxis Iii, MA, LPA is a
Psychologist - Intellectual & Developmental Disabilities based in Troy, North Carolina. Mr Theodore Christopher Mataxis Iii is licensed to practice in North Carolina (license number 2540) and his current practice location is
318 N Main St, Troy, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 576-1188.
NPI number for Mr Theodore Christopher Mataxis Iii is 1629109954 and his current mailing address is 7 Fur Ct E, Pinehurst, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629109954.
Healthcare Provider's Profile
Full Name | Mr Theodore Christopher Mataxis Iii |
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Gender | Male |
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Speciality | Psychologist - Intellectual & Developmental Disabilities |
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Location | 318 N Main St, Troy, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629109954
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Theodore Christopher Mataxis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629109954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2540 (North Carolina) | Primary |
103TB0200X | Psychologist - Cognitive & Behavioral | 2540 (North Carolina) | Primary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2540 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Theodore Christopher Mataxis Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Theodore Christopher Mataxis Iii, MA, LPA 7 Fur Ct E, Pinehurst, NC 28374-8210 Ph: (910) 585-1399 | Mr Theodore Christopher Mataxis Iii, MA, LPA 318 N Main St, Troy, NC 27371-3018 Ph: (910) 576-1188 |
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