James A Moore, PHD, LP - Psychologist in St Louis Park, MN

James A Moore, PHD, LP is a Psychologist - Clinical based in St Louis Park, Minnesota. James A Moore is licensed to practice in Minnesota (license number LP2399) and his current practice location is 4027 County Road 25, St Louis Park, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 925-6033.

NPI number for James A Moore is 1033286489 and his current mailing address is 4240 Park Glen Rd, St Louis Park, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033286489.

Contact Information

James A Moore, PHD, LP
4027 County Road 25,
St Louis Park, MN 55416
(612) 925-6033
(612) 925-8496



Healthcare Provider's Profile

Full NameJames A Moore
GenderMale
SpecialityPsychologist - Clinical
Location4027 County Road 25, St Louis Park, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033286489
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 10/19/2018

Medical Identifiers

Medical identifiers for James A Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033286489NPI-NPPES
6139028OtherMNMEDICA CHOICE
94387OtherMNOPTUM
01H81MOOtherMNBCBS
477048000MedicaidMN
HP20758OtherMNHEALTHPARTNERS
115641C154OtherMNUCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP2399 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James A Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James A Moore, PHD, LP
4240 Park Glen Rd,
St Louis Park, MN 55416-5427

Ph: (612) 925-6033
James A Moore, PHD, LP
4027 County Road 25,
St Louis Park, MN 55416

Ph: (612) 925-6033

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› Verified 2 days ago


Psychologist in St Louis Park, MN

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