C RIVER SMITH PH.D.
NPI 1205965480
Psychologist in Cleveland, OH

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
11206 CLIFTON BLVD, CLEVELAND, OH 44102(216) 651-1302 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About C River Smith Ph.d. NPPES

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

C RIVER SMITH PH.D. (NPI 1205965480) is an individual psychologist in Cleveland, Ohio, licensed in Ohio (4658) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1205965480
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameC RIVER SMITHCredential: PH.D.
Location Address11206 CLIFTON BLVDCleveland, OH 44102-1407
Mailing Address11206 Clifton BlvdCleveland, OH 44102-1407 · (216) 651-1302
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1205965480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · 4658
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11206 CLIFTON BLVD, Cleveland, OH 44102

Other Identifiers 2

Medicare ID-Type UnspecifiedCP13151OH · Psychologist
Medicaid0923479OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

C River Smith Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082680764
PECOS Enrollment IDI20040903000283
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 C Smith's NPI number?

The NPI number for C Smith is 1205965480. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is C Smith located?

C Smith practices at 11206 Clifton Blvd, Cleveland, OH 44102. The listed phone number is (216) 651-1302.

What is C Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is C Smith enrolled in Medicare?

Yes. C Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does C Smith accept?

Health plans from CareSource list C Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for C Smith was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.