Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elaine J Bruckner, PHD

Individual provider Clinical Psychologist · NPI 1063596567

Elaine J Bruckner, PHD is a Clinical Psychologist in Bowling Green, Ohio. Qualified in 1994, 32 years ago. Practices with Anxiety Treatment Center of Greater Toledo LLC, a 7-clinician group and offers telehealth. Licensed in Ohio.

Years since qualifying
32
Licensed in
OH
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

970 W Wooster St Ste 124
Bowling Green, OH 43402-2643
Phone: (419) 352-6666
Fax: (419) 353-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5040 (OH)

Record details

NPI number1063596567
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Anxiety Treatment Center Of Greater Toledo Llc — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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