Active NPI
Christopher Michael Maddox, MED, PSYD
- Counseling Psychologist
- Roanoke, VA
National Provider Identifier
1972248920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 3959 Electric Rd
Roanoke, VA 24018-4562 - Phone
- (540) 339-7674
- NPI assigned
- May 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
3959 Electric Rd
Roanoke, VA 24018-4562
Mailing address
16 Old Whitmore Ave SE Apt 521
Roanoke, VA 24016-1237
Phone (443) 802-0786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3959 Electric Rd
Roanoke, VA 24018-4562
44 Winfield St
Needham, MA 02492-1836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedric Wilson, LPC, LLC | Current | Accepting new patients |
Locations
3959 Electric Rd
Roanoke, VA 24018
Phone (540) 339-7674
2607 Salem Tpke NW
Roanoke, VA 24017
Phone (540) 339-7674
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roanoke, VA
- NPI 1013502137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1972248920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 OLD WHITMORE AVE SE APT 521",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240161237",
"telephone_number": "443-802-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 ELECTRIC RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184562",
"telephone_number": "540-339-7674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "MED, PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.