KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC
NPI 1316748742
Psychologist - Rehabilitation in Beachwood, OH

Active since March 21, 2025
3601 GREEN RD STE 218, BEACHWOOD, OH 44122(216) 407-3470(216) 595-0088 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2025, Mar 21, 2025 (2 updates tracked since 2025).

  • Organization
  • Psychologist
  • Rehabilitation

About KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC

This page provides the complete NPI Profile along with additional information for Kip Smith, Phd Rehabilitation Psychology Llc, a provider established in Beachwood, Ohio operating as a Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1316748742 assigned on March 2025. The practitioner's primary taxonomy code is 103TR0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kip Smith Phd (Psychologist)

NPI
1316748742 Verify this NPI
Provider Name
KIP SMITH, PHD REHABILITATION PSYCHOLOGY LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
3601 GREEN RD STE 218 BEACHWOOD, OH 44122
Location Phone
(216) 407-3470
Location Fax
(216) 595-0088
Mailing Address
3601 GREEN RD STE 218 BEACHWOOD, OH 44122
Mailing Phone
(216) 407-3470
Mailing Fax
(216) 595-0088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2025
Last Update Date
05-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Rehabilitation

Taxonomy Code
103TR0400X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIP SMITH PHD

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(216) 407-3470

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
3601 GREEN RD STE 218
BEACHWOOD, OH 44122
Clinical Neuropsychologist
3601 GREEN RD STE 218
BEACHWOOD, OH 44122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316748742, enumerated as an "organization" on March 21, 2025.

The provider is located at 3601 GREEN RD STE 218 BEACHWOOD, OH 44122 and the phone number is (216) 407-3470.

Psychologist with taxonomy code 103TR0400X and a focus in Rehabilitation.