Active NPI
Heather K Poma, PSYD
- Clinical Psychologist
- Boardman, OH
National Provider Identifier
1083046106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7091
- Practice address
- 945 Windham CT
Suite 2
Boardman, OH 44512-5034 - Phone
- (330) 953-1354
- Fax
- (330) 953-1364
- NPI assigned
- Jul 31, 2013
- Last updated
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS017649 | PA | |
| Clinical Psychologist | 103TC0700X | 7091 | OH | Primary |
| Marriage & Family Therapist | 106H00000X | F. 1400018 | OH |
Addresses
Primary practice location
945 Windham CT
Suite 2
Boardman, OH 44512-5034
Mailing address
945 Windham CT
Suite 2
Boardman, OH 44512-5034
Phone (330) 953-1354
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H228281 | Other | OH | PTAN |
| 0112662 | Medicaid | OH | |
| 2314561 | Medicaid | OH |
Other names 1
- Heather M Kemp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 5545
Poland, OH 44514-0545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017649 | PA | MD | Psychologist |
| 7091 | OH | MD | Clinical Psychologist |
| F. 1400018 | OH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla Renae Arlien PHD | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Apex Psychological Care and Memory Center
- Clinical Psychologist
- Poland, OH
- NPI 1750605655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1083046106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 WINDHAM CT",
"address_2": "SUITE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125034",
"telephone_number": "330-953-1354",
"fax_number": "330-953-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 WINDHAM CT",
"address_2": "SUITE 2",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125034",
"telephone_number": "330-953-1354",
"fax_number": "330-953-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMA",
"first_name": "HEATHER",
"middle_name": "K",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017649",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "7091",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F. 1400018",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "H228281",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112662",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314561",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "KEMP",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.