Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric & Family Psychology Center PA

Organization Psychologist · NPI 1104826510

Pediatric & Family Psychology Center PA is a Psychologist in North Saint Paul, Minnesota. Licensed in Colorado, Minnesota and Washington. Registered with an NPI since 2005.

Licensed in
CO, MN, WA
In the registry since
2005
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2440 N Charles St Ste 236
North Saint Paul, MN 55109-3050
Phone: (651) 771-4766
Fax: (651) 771-4784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1 (MN)
Psychologist Taxonomy 103T00000X · Licence LP2246 (MN)
Psychologist Taxonomy 103T00000X · Licence PY00000625 (WA)
Psychologist Taxonomy 103T00000X · Licence 440 (CO)

Record details

NPI number1104826510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Moore — Owner · (651) 771-4766
Other names Ch Moore Phd Dba Pediatric & Family Psychology Center Pa
NPI enumeratedJuly 28, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address2440 N Charles Street, Suite 236, North Saint Paul, MN 55109-3050

Other providers in North Saint Paul