DR. CHARLES N MOORE D.MIN. NPI 1104988500

NPI Information

  • NPI: 1104988500
  • Provider Name: DR. CHARLES N MOORE, D.MIN.
  • Classification: Psychologist - 103TF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23 SPRING ST
    ESSEX, MA
    ZIP 01929
  • Phone: (978) 884-8641

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NPI Details

DR. Charles N Moore, D.MIN. is a family psychologist in Essex, MA with 52 years of experience. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. DR. Charles N Moore, D.MIN. NPI is 1104988500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 SPRING ST
ESSEX, MA
ZIP 01929-311
Phone: (978) 884-8641

The NPI 1104988500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical2097MASSACHUSETTSNo
2103TF0000XPsychologistFamily2097MASSACHUSETTSYes
3103TF0200XPsychologistForensic2097MASSACHUSETTSNo
4103T00000XPsychologist2097MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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