NPIMap

Organization Active NPI

Kip Smith, PHD Rehabilitation Psychology LLC

  • Rehabilitation Psychologist
  • Beachwood, OH
National Provider Identifier
1316748742
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC
Practice address
3601 Green Rd Ste 218
Beachwood, OH 44122-5719
Phone
(216) 407-3470
Fax
(216) 595-0088
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Authorized official

Name
Kip Smith, PHDNPI 1205847449
Title
Psychologist
Phone
(216) 407-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X Primary

Addresses

Primary practice location

3601 Green Rd Ste 218
Beachwood, OH 44122-5719

Mailing address

3601 Green Rd Ste 218
Beachwood, OH 44122-5719
Phone (216) 407-3470

Other names 1

  • Kip Smith, PhD Rehabilitation Psychology LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1316748742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 GREEN RD STE 218",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225719",
            "telephone_number": "216-407-3470",
            "fax_number": "216-595-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GREEN RD STE 218",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225719",
            "telephone_number": "216-407-3470",
            "fax_number": "216-595-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-407-3470",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kip Smith, PhD Rehabilitation Psychology LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kip Smith, PhD Rehabilitation Psychology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.