Harriet Bomas

Key facts

NPI

1629640479

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

APRN.CNP.0029550 (OH)

Practice address

455 Kilbury Rd
Marion, OH 43302-4530

Phone

(740) 695-7795

Fax

(740) 756-6027

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightside Health, Inc. Psychiatry Physician · San Francisco, CA · NPI 1073072658
  Medicare reassignment Care Compare group NPD OH
• Far West Center Mental Health Clinic/Center (Including Community Mental Health Center) · Westlake, OH · NPI 1093771230
  Medicare reassignment NPD OH
• Pitbull Psych, LLC Psychiatric/Mental Health Nurse Practitioner · Marion, OH · NPI 1861173064
  NPD Authorized official PSYCHIATRIC/MENTAL HEALTH

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Health Inc (213 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 2, 2025.

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1629640479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 KILBURY RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024530",
            "telephone_number": "973-343-1999",
            "fax_number": "740-756-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 KILBURY RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024530",
            "telephone_number": "740-695-7795",
            "fax_number": "740-756-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAS",
        "first_name": "HARRIET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029550",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "OH",
            "license": "348434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

• Craig A Blue, CO
• BMX Imaging Center, LLC
• Dennis Alan Boerger, RPH
• Kayla Bolander, LSW
• Rebekah Marie Bollinger, COTA/L
• Paul Alexander Bonner, DO
• Stephanie Lynne Bortner, PA-C
• Kerry Boss, O.T.
• Yanis Boumber, MD
• Jessica Bowers

All providers in Marion, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio