Individual provider

Charles Moore, D.MIN.

Family Psychologist Clinical Psychologist Forensic Psychologist Medicare enrolled

Charles Moore, D.MIN. is a Family Psychologist in Essex, MA, registered under NPI 1104988500. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 23 SPRING ST, Essex, MA 01929. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

23 SPRING ST, Essex, MA 01929 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2097 MA Family Psychologist primary
2097 MA Clinical Psychologist
2097 MA Forensic Psychologist
2097 MA Psychologist

This provider holds licence 2097 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
8022456326
Enrollment ID
I20240405000883

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

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. NUCC Health Care Provider Taxonomy, code 103TF0000X
Behavioral Health & Social Service Providers Psychologist Family

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TF0000X Family Psychologist Family 2097 MA primary
103TC0700X Clinical Psychologist Clinical 2097 MA
103TF0200X Forensic Psychologist Forensic 2097 MA
103T00000X Psychologist 2097 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104988500 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 14, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorYes
CredentialD.MIN.
Practice address 23 SPRING ST
Essex, MA 01929
(978) 884-8641
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104988500 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 8 8 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 8 7 5 0

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104988500?
NPI 1104988500 is the National Provider Identifier assigned to Charles Moore, D.MIN. in Essex, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
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.
How do I contact Charles Moore, D.MIN.?
The phone number on file with NPPES is (978) 884-8641, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Charles Moore, D.MIN. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104988500 a valid number?
Yes. 1104988500 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.