Cognitive Achievement Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COGNITIVE ACHIEVEMENT CENTER

Doing business as

Indigo Oak - A Cognitive Achievement Center

Practice address

608 Washington St
Canton, MO 63435-1581

Phone

(248) 820-9905

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Thomas Robertson

Title

Owner

Phone

(248) 820-9905

Specialties & licenses 1

Addresses

Other names 1

• Indigo Oak - A Cognitive Achievement Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1780199521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 US HIGHWAY 61",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634353360",
            "telephone_number": "248-820-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WASHINGTON ST",
            "city": "CANTON",
            "state": "MO",
            "postal_code": "634351581",
            "telephone_number": "248-820-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE ACHIEVEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-820-9905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigo Oak - A Cognitive Achievement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blessing Walk-in Clinic LLC (Blessing Convenient Care)
• Myah Alexis Briese
• Megan Ann Burk
• Canton School District R V
• Robert Carmichael, MA, ATC
• Gregory Leo Collier, DC
• Angelique Kathleen Cross, D.C.
• Culver-Stockton College (Culver-Stockton Sports Medicine)
• Morgan Grace Dierks Machado
• Connie Marie Dochterman, APRN,BC

• Specialist in Canton, MO
• Providers in Canton, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.