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PEDIATRIC & FAMILY PSYCHOLOGY CENTER PA
NPI 1104826510
Marriage & Family Therapist in North Saint Paul, MN

Active since July 28, 2005
2440 N CHARLES STREET, SUITE 236, NORTH SAINT PAUL, MN 55109(651) 771-4766(651) 771-4784 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric & Family Psychology Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC & FAMILY PSYCHOLOGY CENTER PA (NPI 1104826510), doing business as Ch Moore Phd Dba Pediatric & Family Psychology Center Pa, is a healthcare organization registered as a marriage & family therapist in North Saint Paul, Minnesota and active in the NPI registry since July 2005. The organization lists C L Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1104826510
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePEDIATRIC & FAMILY PSYCHOLOGY CENTER PA
Location Address2440 N CHARLES STREET, SUITE 236North Saint Paul, MN 55109-3050
Mailing Address2440 N Charles Street, Suite 236North Saint Paul, MN 55109-3050 · (651) 771-4766 · Fax (651) 771-4784
Phone(651) 771-4766
Fax(651) 771-4784
Organization SubpartNo
Authorized OfficialC L MooreOwner · (651) 771-4766
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104826510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedPsychologistTaxonomy 103T00000X · License PY00000625 (WA), LP2246 (MN), 440 (CO)
2440 N CHARLES STREET, North Saint Paul, MN 55109
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Other Names 1

Doing Business AsCh Moore Phd Dba Pediatric & Family Psychology Center Pa

Other Identifiers 5

Other6049644MN · State Of Mn
OtherHP19293MN · Health Part Ners
Medicaid39036800WI
Other104097MN · Ucare
Other212T8PEMN · Bc/bs/bt

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric & Family Psychology Center PA's NPI number?

The NPI number for Pediatric & Family Psychology Center PA is 1104826510. It was assigned to this organization in the NPPES registry on July 28, 2005. The provider is doing business as CH Moore PhD dba Pediatric & Family Psychology Center PA.

Where is Pediatric & Family Psychology Center PA located?

Pediatric & Family Psychology Center PA is located at 2440 N Charles Street Suite 236, North Saint Paul, MN 55109. The listed phone number is (651) 771-4766.

What is Pediatric & Family Psychology Center PA's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Pediatric & Family Psychology Center PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.