IndividualActive
Anthony Olorunsola, PMHNP-BC
NPI 1205211802 · Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ
Provider details
- NPI number
- 1205211802
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- AP7477 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4525 S Lakeshore Dr
Tempe, AZ 85282-8339
Phone: (623) 806-6864
Street-level locationGet directions
Mailing address
11211 E Sonrisa Ave
Mesa, AZ 85212-7079
Additional practice locations (1)
- 540 W Iron Ave Ste 201Mesa, AZ 85210-6027Phone: (623) 806-6864
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2023-01-16
- Certified
- 2023-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.