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Cognitive Care Medical Group LLC

Psychiatry Physician in Clackamas, OR · enumerated 2017 · authorized official Eric Wight, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770023186

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Registry record

Entity type Organization (Type 2)
Legal business name Cognitive Care Medical Group LLC
Other name <Unavail>
Practice address 12901 Se 97th Ave Ste 105, Clackamas, OR, 97015
Fax (503) 912-4787
Enumeration date Mar 3, 2017
Last updated in NPPES Mar 4, 2026

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
2084F0202X Forensic Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Eric Wight
Title Manager

Other identifiers

Identifier Type State Issuer
500723541 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Cognitive Care Medical Group LLC?
The NPI for Cognitive Care Medical Group LLC is 1770023186, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cognitive Care Medical Group LLC?
NPPES lists Eric Wight (Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-04.