Pitbull Psych, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PITBULL PSYCH, LLC

Practice address

455 Kilbury Rd
Marion, OH 43302-4530

Phone

(973) 343-1999

NPI assigned

Jul 31, 2023

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harriet Bomas, MSN, PMHNP-BCNPI 1629640479

Title

Psychiactric Nurse Practitioner

Phone

(973) 343-1999

Specialties & licenses 1

Addresses

Other names 1

• Harriet Bomas Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harriet Bomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, OH
  • NPI 1629640479
  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1861173064",
    "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"
        },
        {
            "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": "973-343-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITBULL PSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "BOMAS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "PSYCHIACTRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-343-1999",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harriet Bomas",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harriet Bomas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danika Phipps
• Thomas Richard Pickett, P.A.
• Kayla Pierce
• Kaylee Pinkerton, MA, LPC
• Pinnacle Treatment Centers Oh-Xiv, LLC (Marion Treatment Services)
• Arnita Deniece Pittman, LICDC
• Pleasant Township Trustees (Pleasant TWP Fire Dept)
• Darceilia Plott, M.D.
• Mackenzie Poling
• Thomas Polk

• Psychiatric/Mental Health Nurse Practitioner in Marion, OH
• Providers in Marion, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.