Karen Ann Ackerman-Spain, PH.D.
Individual provider Active NPI Psychologist · Perrysburg, OH
NPI 1386701902 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1386701902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 6278 (OH)
- Practice address
- 134 W South Boundary St
Suite MM
Perrysburg, OH 43551-1763 - Phone
- (419) 873-0891
- Fax
- (419) 873-0892
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fort Meigs Wellness and Behavioral Health LLC
Practice addresses (Care Compare)
975 Commerce Dr
Perrysburg, OH 43551-5228
Phone (419) 873-0891
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140203000349 | OH | Practitioner - Clinical Psychologist | 9638316425 |
Reassigns benefits to 1 organization Practice locations: Perrysburg, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6278 | OH | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6278 | OH | Yes |
Addresses
Primary practice location
134 W South Boundary St
Suite MM
Perrysburg, OH 43551-1763
Mailing address
134 W South Boundary St Ste MM
Perrysburg, OH 43551-1784
Phone (419) 873-0891
Other practice location 1
975 Commerce Dr
Perrysburg, OH 43551-5228
Phone (419) 874-8257
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.