Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

C River Smith, PHD

Individual provider Psychologist · NPI 1205965480

C River Smith, PHD is a Clinical Psychologist in Cleveland, Ohio. Qualified in 1989, 37 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
37
Licensed in
OH
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11206 Clifton Blvd
Cleveland, OH 44102-1407
Phone: (216) 651-1302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4658 (OH)

Record details

NPI number1205965480
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 9, 2007
Mailing address11206 Clifton Blvd, Cleveland, OH 44102-1407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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