FORT MEIGS PSYCHOLOGICAL SERVICE – Psychologist, NPI 1649337817

FORT MEIGS PSYCHOLOGICAL SERVICE is a healthcare provider. based in Perrysburg, Ohio. specializing in Psychologist. The organization holds a License No. I0002078 (OH). The NPI Number for FORT MEIGS PSYCHOLOGICAL SERVICE is 1649337817

Main info

Organization
Name
FORT MEIGS PSYCHOLOGICAL SERVICE
NPI
1649337817
Phone
(419) 874-8257
Address
975 COMMERCE DR
Authorized Official
PATRICIA A. VAN KLEY PRESIDENT PHD
Enumeration Date
3 January 2007
Last Update Date
23 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for FORT MEIGS PSYCHOLOGICAL SERVICE

  • 975, Commerce Drive, Fort Meigs Commerce Park, Perrysburg, Wood County, Ohio, 43551, United States

    PERRYSBURG, OH 435515228

    Phone: (419) 874-8257

    Fax: (419) 874-9960

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090918000117OClinic/Group PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43551)

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Reviews

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Frequently asked questions

What is the standard ID for FORT MEIGS PSYCHOLOGICAL SERVICE in the U.S.?
In the U.S., FORT MEIGS PSYCHOLOGICAL SERVICE is identified by NPI 1649337817.
Is FORT MEIGS PSYCHOLOGICAL SERVICE's NPI status active today?
Active status means FORT MEIGS PSYCHOLOGICAL SERVICE's NPI record is not deactivated in the public file.
What type of care does FORT MEIGS PSYCHOLOGICAL SERVICE provide?
FORT MEIGS PSYCHOLOGICAL SERVICE's profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to FORT MEIGS PSYCHOLOGICAL SERVICE?
FORT MEIGS PSYCHOLOGICAL SERVICE shows a connection to Perrysburg, Ohio in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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