KIP L SMITH (PH.D) – Rehabilitation Psychologist, NPI 1205847449
Rehabilitation Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
1,139 CLINICAL PSYCHOLOGIST in OH
Provider Addresses for KIP L SMITH (PH.D)
3601 Green Rd Ste 218
Beachwood, OH 441225719
Phone: (216) 407-3470
Fax: (216) 595-0088
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-7604
Fax: (614) 293-3809
Type: Mailing
480 MEDICAL CENTER DR
COLUMBUS, OH 432101229
Phone: (614) 293-7604
Fax: (614) 293-3809
Type: Location
MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States
CLEVELAND, OH 441091900
Phone: (216) 778-8804
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100310000005 | I | Clinical Psychologist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 63 | 14 | $0 |
| 90834 | Psychotherapy, 45 minutes | 51 | 12 | $0 |
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OH | |
| Clinical Psychologist | OH | |
| Clinical Psychologist | OH | |
| Physical Medicine And Rehabilitation | CT | |
| - | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | OH | |
| Clinical Psychologist | OH | |
| Clinical Psychologist | OH |
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