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

Miss. Bolanle Kudiratu Adegoke, PMHNP-BC

Individual provider Registered Nurse · NPI 1952775611

Miss. Bolanle Kudiratu Adegoke, PMHNP-BC is a Nurse Practitioner in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2015
Specialties on file
2
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

493 Nostrand Ave
Brooklyn, NY 11216-5117
Phone: (718) 230-1379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 249 Thomas S Boyland St, Brooklyn, NY 11233-4156 — (718) 415-3645

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence F403746 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 701175-1 (NY)

Record details

NPI number1952775611
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 18, 2015
Last updated in NPPESMay 21, 2022
Certification dateMay 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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