Active NPIIndividual providerSole proprietor

Dr. Charles N Moore Jr., DMIN

Psychologist, Family in Essex, Massachusetts

NPI Number1104988500
Practice location
23 Spring St, Essex, MA 01929-1311
Fax
—
Last updated
September 11, 2025

Charles N Moore is a Psychologist, Family based in Essex, MA. Charles N Moore practices in Essex, MA and has the professional credentials of DMIN. The NPI Number for Charles N Moore is 1104988500 and holds a License No. 2097 (MA). The current practice location address for Charles N Moore is 23 Spring St, Essex, MA 01929-1311 and can be reached out via phone at 978-884-8641.

Provider Profile Details

NPI Number
1104988500
Provider Name
Charles N Moore
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
23 Spring St, Essex, MA 01929-1311
Phone Number
978-884-8641
Primary Taxonomy
Psychologist, Family · 103TF0000X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Spring St
Essex, MA 01929-1311
City
Essex
Zip
01929-1311
Phone Number
978-884-8641
Essex, MA 01929Get directions →

Provider Business Mailing Address Details

Address
23 Spring St
Essex, MA 01929-1311
City
Essex
State
MA
Zip
01929-1311
Phone Number
978-884-8641

License Information

License Number (1)
2097
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
2097
License State (2)
MA
Taxonomy (2)
Psychologist, Family · 103TF0000X · Primary
License Number (3)
2097
License State (3)
MA
Taxonomy (3)
Psychologist, Forensic · 103TF0200X
License Number (4)
2097
License State (4)
MA
Taxonomy (4)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles N Moore Jr., DMIN?

The NPI number of Dr. Charles N Moore Jr., DMIN is 1104988500. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles N Moore Jr., DMIN?

Dr. Charles N Moore Jr., DMIN is registered under the primary taxonomy Psychologist, Family (code 103TF0000X), licensed in MA under license number 2097.

Where does Dr. Charles N Moore Jr., DMIN practice?

The practice location is 23 Spring St, Essex, MA 01929-1311. The office can be reached at 978-884-8641 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104988500 directly on the NPPES registry website.

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