Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Conrad Oluranti Olonimoyo, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821899584

Conrad Oluranti Olonimoyo, PMHNP-BC is a Nurse Practitioner in White Plains, New York. Qualified in 2025, 1 year ago. Practices with Memorial Psychiatry Group, a 50-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone: (929) 499-4540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406694 (NY)

Record details

NPI number1821899584
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMarch 20, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Memorial Psychiatry Group — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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