Theodore Mataxis, M.A., L.P.A
NPI 1629109954 · Intellectual & Developmental Disabilities Psychologist · Troy, NC
Theodore Mataxis, M.A., L.P.A is a Intellectual & Developmental Disabilities Psychologist provider in Troy, NC (NPI 1629109954).
Provider details
- NPI number
- 1629109954
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A., L.P.A
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2540 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2025-09-11
Frequently asked questions
- What is Theodore Mataxis's NPI number?
- Theodore Mataxis's National Provider Identifier (NPI) is 1629109954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Mataxis's specialty?
- Theodore Mataxis is listed in the NPPES registry with a primary specialty of Intellectual & Developmental Disabilities Psychologist (Behavioral Health & Social Service Providers).
- Where is Theodore Mataxis located?
- Theodore Mataxis's practice location on file with NPPES is 318 N Main St, Troy, NC 27371-3018.
- What is Theodore Mataxis's phone number?
- The practice phone number listed in the NPPES registry for Theodore Mataxis is (910) 576-1188.
- Is Theodore Mataxis's NPI active?
- Yes — Theodore Mataxis's NPI (1629109954) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.