MR. THEODORE CHRISTOPHER MATAXIS III (NPI# 1629109954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629109954 |
| Entity Type | Individual |
| Full Name | MR. THEODORE CHRISTOPHER MATAXIS III |
| Credential | M.A., L.P.A |
| Practice Address |
318 N Main St Troy NC 27371-3018 |
| Mailing Address |
7 Fur Ct E Pinehurst NC 28374-8210 |
| Practice Telephone | 9105761188 |
| Practice Fax Number | 9105761182 |
| Mailing Telephone | 9105851399 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 2540 | NC | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2540 | NC | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2540 | NC | Behavioral Health & Social Service Providers |
| Street Address |
318 N MAIN ST |
| City | TROY |
| State | NC |
| Zip Code | 27371-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073981817 | Pinnacle Family Services of North Carolina LLC | Counselor | 318 N Main St, Troy, NC 27371-3018 | 2015-09-10 |
| 1346627353 | Melanie Camp | Social Worker | 318 N Main St, Troy, NC 27371-3018 | 2015-04-28 |
| 1750692547 | Ambraya Timmons | Counselor | 318 N Main St, Troy, NC 27371-3018 | 2010-06-25 |
| 1851436034 | National Mentor Healthcare LLC | Counselor | 318 N Main St, Troy, NC 27371-3018 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1124432315 | Derma Sleeves, LLC | Durable Medical Equipment & Medical Supplies | 102 W. Chestnut St., Troy, NC 27371 | 2014-06-16 |
| 1790098903 | Deborah Whitling | Social Worker | 318 N. Main St, Nc Mentor, Troy, NC 27371 | 2010-07-16 |
| 1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
| 1750592630 | National Mentor Health Care LLC | Social Worker | 318 N. Main St., Troy, NC 27371 | 2007-05-24 |
| 1639207954 | Montgomery County Council On Aging | Home Delivered Meals | 503 Page St, Troy, NC 27371 | 2007-02-28 |
| 1053450148 | Lisa Anne Atkins | Counselor | 318 North Main Street, Troy, NC 27371 | 2007-02-05 |
| 1134295850 | County of Montgomery | Clinic/Center | 217 South Main St, Troy, NC 27371 | 2006-11-27 |
| 1730262817 | Terry V Wood Dmd Pa | Dentist | 201 N Main, Troy, NC 27371 | 2006-10-23 |
| Find all providers in zip 27371 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943181 | Kristen Ghersi Hurrell | Psychologist | 3725 Rochester Rd, Troy, MI 48083-5244 | 2018-08-22 |
| 1225578214 | Casey Michelle Bazarewski | Psychologist | 5115 Babbit Dr, Troy, MI 48085-3448 | 2017-02-24 |
| 1902268402 | Michael Pignatiello | Psychologist | 1314 Windy Hill Ct, Troy, OH 45373-4572 | 2016-03-23 |
| 1932442829 | Jasmin Patel | Psychologist | 416 Evaline Dr, Troy, MI 48085-5509 | 2013-03-29 |
| 1851690721 | Melissa Kandah | Psychologist | 2221 Livernois Rd Ste 101, Troy, MI 48083-1603 | 2011-03-17 |
| 1205134525 | Michigan Behavioral Medicine | Psychologist | 625 E Big Beaver Road, Suite 101, Troy, MI 48083 | 2011-03-10 |
| 1710282611 | Marcie Wagner | Psychologist | 4780 Orchard Ridge Dr, Troy, MI 48098-4121 | 2011-01-24 |
| 1093832818 | James Wargel | Psychologist | 200 East Big Beaver Rd, Troy, MI 48083-1208 | 2007-03-25 |
| 1427197409 | James Clifford Kors | Psychologist | 2075 West Big Beaver, Suite 520, Troy, MI 48084 | 2007-02-06 |
| 1801949391 | John Thomas Lynch IIi | Psychologist | 3336 Essex Dr, Troy, MI 48084-2705 | 2007-01-19 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.