Active NPI
Lydia Potoma LLC
- Psychiatry Physician
- Middleburg Heights, OH
National Provider Identifier
1659177699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LYDIA POTOMA LLC
- Doing business as
- Behavioral Health Partners
- Practice address
- 18051 Jefferson Park Rd Ste 102
Middleburg Heights, OH 44130-3460 - Phone
- (216) 403-1291
- NPI assigned
- Feb 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lydia Lee Potoma, MSN, APRN, CNP
- Title
- Owner
- Phone
- (216) 403-1291
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
18051 Jefferson Park Rd Ste 102
Middleburg Heights, OH 44130-3460
Mailing address
18051 Jefferson Park Rd Ste 102
Middleburg Heights, OH 44130-3460
Phone (216) 403-1291
Other names 1
- Behavioral Health Partners
National Provider Directory
National Provider DirectoryLocations
18051 Jefferson Park Rd
Ste 102
Middleburg Heights, OH 44130
Phone (216) 403-1291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Garfield Heights, OH
- NPI 1558908400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1659177699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18051 JEFFERSON PARK RD STE 102",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303460",
"telephone_number": "216-403-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18051 JEFFERSON PARK RD STE 102",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303460",
"telephone_number": "216-403-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYDIA POTOMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "POTOMA",
"authorized_official_first_name": "LYDIA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-403-1291",
"authorized_official_credential": "MSN, APRN, CNP"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Behavioral Health Partners",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.