Active NPI
Bruce E. Kline PSYD & Associates
- Clinical Psychologist
- Beavercreek, OH
National Provider Identifier
1093932808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 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 Associates
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Dayton, OH
- NPI 1730211228
-
- Professional Counselor
- Beavercreek, OH
- NPI 1598925547
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.