ELAINE J BRUCKNER PH.D.
NPI 1063596567
Psychologist - Clinical in Bowling Green, OH

Q: What is Elaine Bruckner's NPI number?

The NPI number for Elaine Bruckner is 1063596567. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Elaine Bruckner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Bruckner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2006PECOS Enrolled

970 W WOOSTER ST, SUITE 124, BOWLING GREEN, OH 43402(419) 352-6666(419) 353-1117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Elaine J Bruckner Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELAINE J BRUCKNER PH.D. (NPI 1063596567) is an individual clinical provider in Bowling Green, Ohio, licensed in Ohio (5040) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1063596567

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELAINE J BRUCKNERCredential: PH.D.

Location Address970 W WOOSTER ST, SUITE 124Bowling Green, OH 43402-2643

Mailing Address970 W Wooster St, Suite 124Bowling Green, OH 43402-2643 · (419) 352-6666 · Fax (419) 353-1117

Phone(419) 352-6666

Fax(419) 353-1117

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063596567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 5040

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

970 W WOOSTER ST, Bowling Green, OH 43402

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Other Identifiers 2

Medicare ID-Type UnspecifiedBRCP18715OH

Medicare ID-Type Unspecified0220988OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elaine J Bruckner Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648177436

PECOS Enrollment IDI20031218000713

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elaine Bruckner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anxiety Treatment Center Of Greater Toledo LLC

11 mi

Clinical

1070 COMMERCE DR BLDG 2301
Perrysburg, OH 43551

Reassigned Medicare billing, Ohio enrollment
8 clinicians in this Medicare group

NPI 1710539580 (419) 265-8206

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

181 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTSIDE PHARMACY INC

Pharmacy

970 W WOOSTER ST, SUITE #121
BOWLING GREEN, OH 43402

Wood County (419) 352-6423

MARJEAN BECK CNP

Nurse Practitioner (Pediatrics)

970 W WOOSTER ST, SUITE 130
BOWLING GREEN, OH 43402

Wood County (419) 352-6890

DR. JEFFREY J LEVIN DDS

Dentist (General Practice)

970 W WOOSTER ST, SUITE 125
BOWLING GREEN, OH 43402

Wood County (419) 352-2569

DR. GEORGE MICHAEL HEBEKA DDS

Dentist (General Practice)

970 W WOOSTER ST, SUITE 125
BOWLING GREEN, OH 43402

Wood County (419) 352-2569

TOLEDO CLINIC INCORPORATED

Eyewear Supplier

970 W WOOSTER ST, STE 221
BOWLING GREEN, OH 43402

Wood County (419) 354-3926

MELISSA ANNE MOORE M.D.

Pediatrics

970 W WOOSTER ST, SUITE 130
BOWLING GREEN, OH 43402

Wood County (419) 352-6890

WHC MEDICAL SERVICES LLC

Family Medicine

970 W WOOSTER ST, SUITE 130
BOWLING GREEN, OH 43402

Wood County (419) 353-5081

PROMEDICA GENITO-URINARY SURGEONS LLC

Urology

970 W WOOSTER ST, SUITE 129
BOWLING GREEN, OH 43402

Wood County (419) 353-1239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Bruckner's NPI number?

The NPI number for Elaine Bruckner is 1063596567. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Elaine Bruckner located?

Elaine Bruckner practices at 970 W Wooster St Suite 124, Bowling Green, OH 43402. The listed phone number is (419) 352-6666.

What is Elaine Bruckner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elaine Bruckner enrolled in Medicare?

Yes. Elaine Bruckner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaine Bruckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Bruckner reassigns Medicare benefits to Anxiety Treatment Center Of Greater Toledo LLC (Perrysburg, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaine Bruckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elaine Bruckner accept?

Health plans from MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio, Paramount and UnitedHealthcare list Elaine Bruckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elaine Bruckner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.