Organization Active NPI

Bruce E. Kline PSYD & Associates

  • Clinical Psychologist
  • Beavercreek, OH
National Provider Identifier
1093932808
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRUCE E. KLINE PSYD & ASSOCIATES
Practice address
1411 N Fairfield Rd Ste B
Beavercreek, OH 45432-2683
Phone
(937) 426-2686
Fax
(937) 429-3423
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia A Kaniuga, MS, LPCC
Title
Billing
Phone
(937) 426-2686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1411 N Fairfield Rd Ste B
Beavercreek, OH 45432-2683

Mailing address

1411 N Fairfield Rd Ste B
Beavercreek, OH 45432-2683
Phone (937) 426-2686

National Provider Directory

National Provider Directory
Tax ID family
Bruce E Kline PSYD Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1411 N Fairfield Rd
Ste B
Beavercreek, OH 45432
Phone (937) 426-2686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093932808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FAIRFIELD RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322683",
            "telephone_number": "937-426-2686",
            "fax_number": "937-429-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FAIRFIELD RD STE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322683",
            "telephone_number": "937-426-2686",
            "fax_number": "937-429-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E. KLINE PSYD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KANIUGA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "937-426-2686",
        "authorized_official_credential": "MS, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.