Cognitive Care Medical Group LLC
NPI 1770023186 · Psychiatry Physician · Clackamas, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cognitive Care Medical Group LLC is a Psychiatry Physician organization in Clackamas, OR (NPI 1770023186).
Provider details
- NPI number
- 1770023186
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Wight, Manager(503) 912-4788
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Forensic Psychiatry Physician2084F0202X
Allopathic & Osteopathic Physicians
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cognitive Care Medical Group
Registry dates
- Enumerated
- 2017-03-03
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Cognitive Care Medical Group LLC's NPI number?
- Cognitive Care Medical Group LLC's National Provider Identifier (NPI) is 1770023186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cognitive Care Medical Group LLC?
- Cognitive Care Medical Group LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Cognitive Care Medical Group LLC located?
- Cognitive Care Medical Group LLC's practice location on file with NPPES is 12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902.
- What is Cognitive Care Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Cognitive Care Medical Group LLC is (503) 912-4788.
- Does Cognitive Care Medical Group LLC accept Medicare?
- Cognitive Care Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cognitive Care Medical Group LLC?
- The authorized official listed on Cognitive Care Medical Group LLC's NPPES record is Eric Wight, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cognitive Care Medical Group LLC's NPI active?
- Yes — Cognitive Care Medical Group LLC's NPI (1770023186) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.