DR. KURTIS MICHAEL SMITH PSY.D. CLINICAL PSYC
NPI 1053891929
Psychologist - Clinical in Ann Arbor, MI

Q: What is Kurtis Smith's NPI number?

The NPI number for Kurtis Smith is 1053891929. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Kurtis Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kurtis Smith was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 20, 2018

2215 FULLER RD, ANN ARBOR, MI 48105(734) 769-7100 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 29, 2026, Apr 23, 2026, Feb 26, 2025 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Kurtis Michael Smith Psy.d. Clinical Psyc NPPES

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

DR. KURTIS MICHAEL SMITH PSY.D. CLINICAL PSYC (NPI 1053891929) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301019767) and active in the NPI registry since August 2018. He maintains a secondary practice location in Fort Bragg.

NPPES Registry Identity

NPI1053891929

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KURTIS MICHAEL SMITHCredential: PSY.D. CLINICAL PSYC

Location Address2215 FULLER RDAnn Arbor, MI 48105-2303

Mailing Address2215 Fuller RdAnn Arbor, MI 48105-2303 · (734) 769-7100

Phone(734) 769-7100

Sole ProprietorNo

Enumeration DateAugust 20, 2018

Last NPPES UpdateApril 29, 20264 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1053891929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MI · 6301019767✔ Licensed in WY · 805

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2215 FULLER RD, Ann Arbor, MI 48105

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Secondary Practice Location 1

Location 12817 Rock Merritt Ave Womack Army Medical CenterFort Bragg, NC 28310-0001 · Phone (910) 907-8922

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CONSTANCE LAROSA RN

Registered Nurse

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

THOMAS F CURRAN

Anesthesiology

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 845-5342

MRS. NICHELLE BOWMAN RN

Registered Nurse

2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105

Washtenaw County (734) 845-3914

MRS. CAREY ANN MICHEL RN

Registered Nurse

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 222-4230

JACQUELYN VANZILE LPCC

Counselor (Mental Health)

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

CARRIE JO HERNANDEZ RN

Registered Nurse

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 845-5598

ERIC PATTERSON PTA

Physical Therapy Assistant

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 845-3829

MS. AMIE RICHARDSON

Physical Therapy Assistant

2215 FULLER RD
ANN ARBOR, MI 48105

Washtenaw County (734) 769-7100

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 Kurtis Smith's NPI number?

The NPI number for Kurtis Smith is 1053891929. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Kurtis Smith located?

Kurtis Smith practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 769-7100.

What is Kurtis Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kurtis Smith was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.