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COGNITIVE CARE MEDICAL GROUP LLC
NPI 1770023186
Psychiatry & Neurology - Psychiatry in Clackamas, OR

Active since March 03, 2017
12901 SE 97TH AVE STE 105, CLACKAMAS, OR 97015(503) 912-4788(503) 912-4787 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2026, Sep 12, 2018, Mar 3, 2017 (3 updates tracked since 2017).

About Cognitive Care Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COGNITIVE CARE MEDICAL GROUP LLC (NPI 1770023186), doing business as Cognitive Care Medical Group, is a healthcare organization registered as a psychiatry in Clackamas, Oregon and active in the NPI registry since March 2017. The organization lists Eric G Wight, Manager, as its authorized official.

NPPES Registry Identity

NPI1770023186
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCOGNITIVE CARE MEDICAL GROUP LLC
Location Address12901 SE 97TH AVE STE 105Clackamas, OR 97015-7902
Mailing Address12901 Se 97th Ave Ste 105Clackamas, OR 97015-7902 · (503) 912-4788 · Fax (503) 912-4787
Phone(503) 912-4788
Fax(503) 912-4787
Organization SubpartNo
Authorized OfficialEric G WightManager · (503) 912-4788
Enumeration DateMarch 3, 2017
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1770023186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
12901 SE 97TH AVE STE 105, Clackamas, OR 97015
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Other Names 1

Doing Business AsCognitive Care Medical Group

Other Identifiers 1

Medicaid500723541OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cognitive Care Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cognitive Care Medical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Heather Knott, DO
Psychiatry
NPI 1194900084
12901 SE 97TH AVE STE 105
Clackamas, OR 97015
(503) 912-4788
✔ PECOS✔ Accepts MedicareSame address
Jesse Morris, PMHNP, DNP
Nurse Practitioner
NPI 1679351993
12901 SE 97TH AVE STE 105
Clackamas, OR 97015
(503) 912-4788
✔ PECOS✔ Accepts MedicareSame address
Kimberly Sabin, PMHNP-BC
Nurse Practitioner
NPI 1669676193
12901 SE 97TH AVE STE 105
Clackamas, OR 97015
(503) 912-4788
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cognitive Care Medical Group LLC's NPI number?

The NPI number for Cognitive Care Medical Group LLC is 1770023186. It was assigned to this organization in the NPPES registry on March 3, 2017. The provider is doing business as Cognitive Care Medical Group.

Where is Cognitive Care Medical Group LLC located?

Cognitive Care Medical Group LLC is located at 12901 SE 97th Ave Ste 105, Clackamas, OR 97015. The listed phone number is (503) 912-4788.

What is Cognitive Care Medical Group LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cognitive Care Medical Group LLC enrolled in Medicare?

Yes. Cognitive Care Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cognitive Care Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cognitive Care Medical Group LLC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cognitive Care Medical Group LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cognitive Care Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cognitive Care Medical Group LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.