Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lydia Lee Potoma, PMHNP-BC

Individual provider Geriatric Psychiatry Physician · NPI 1558908400

Lydia Lee Potoma, PMHNP-BC is a Nurse Practitioner in Garfield Heights, Ohio. Qualified in 2020, 6 years ago. Practices with Justin W Havemann MD LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2019
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone: (216) 587-8341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence APRN.CNP.026685 (OH)

Record details

NPI number1558908400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESApril 21, 2022
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Justin W Havemann Md Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services