Individual provider Active NPI

Harriet Bomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, OH
National Provider Identifier
1629640479
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029550 Issued in OH
Practice address
455 Kilbury Rd
Marion, OH 43302-4530
Phone
(740) 695-7795
Fax
(740) 756-6027
NPI assigned
Jul 12, 2021
Last updated
Nov 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0029550 OH Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 348434 OH

Addresses

Primary practice location

455 Kilbury Rd
Marion, OH 43302-4530

Mailing address

455 Kilbury Rd
Marion, OH 43302-4530
Phone (973) 343-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113000444 OH Practitioner - Nurse Practitioner 8224420732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Columbus, OH 43212
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348434OHMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
APRN.CNP.0029550OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Far West Center CurrentSince Feb 21, 2022 Accepting new patients
Pitbull Psych, LLC Psychiatric/Mental Health CurrentSince Aug 6, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

17 N 5th Ave
#1021
Beech Grove, IN 46107

574 N Leavitt Rd
Amherst, OH 44001
Phone (440) 985-5900

1747 Olentangy River Rd
Columbus, OH 43212
Phone (614) 233-1559

29133 Health Campus Dr
Westlake, OH 44145
Phone (440) 835-6212

3556 S 5600 W
#1828
West Valley City, UT 84120
Phone (330) 416-3867

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.