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

Cognitive Care Medical Group LLC

Organization Clinical Psychologist · NPI 1770023186

Cognitive Care Medical Group LLC is a Clinical Psychologist in Clackamas, Oregon. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12901 SE 97th Ave Ste 105
Clackamas, OR 97015-7902
Phone: (503) 912-4788
Fax: (503) 912-4787
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Psychologist Taxonomy 103TC0700X
Forensic Psychiatry Physician Taxonomy 2084F0202X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1770023186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Wight — Manager · (503) 912-4788
Other names Cognitive Care Medical Group
NPI enumeratedMarch 3, 2017
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address12901 Se 97th Ave Ste 105, Clackamas, OR 97015-7902

Other providers in Clackamas