Individual provider Active NPI

Christopher Michael Maddox, MED, PSYD

  • Counseling Psychologist
  • Roanoke, VA
National Provider Identifier
1972248920
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519001260 VA Practitioner - Clinical Psychologist 4688143795 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Cedric Wilson, LPC, LLC CurrentSince Feb 3, 2026 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.

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

Verify at the official NPI Registry.