COGNITIVE ACHIEVEMENT CENTER NPI 1780199521

NPI Information

  • NPI: 1780199521
  • Provider Name: COGNITIVE ACHIEVEMENT CENTER
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: INDIGO OAK - A COGNITIVE ACHIEVEMENT CENTER
  • Address: 608 WASHINGTON ST
    CANTON, MO
    ZIP 63435
  • Phone: (248) 820-9905

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NPI Details

COGNITIVE ACHIEVEMENT CENTER is a specialist in Canton, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COGNITIVE ACHIEVEMENT CENTER NPI is 1780199521. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Indigo Oak - A Cognitive Achievement Center.

The provider's business location address is:

608 WASHINGTON ST
CANTON, MO
ZIP 63435-581
Phone: (248) 820-9905

The provider's authorized official is Scott Thomas Robertson .
The authorized official title is Owner and has the following contact phone number (248) 820-9905.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 12/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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