Individual provider Active NPI

Donesha Tinsley Obaseki, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1063296671
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1132154 Issued in TX
Practice address
24275 Katy Fwy Ste 410
Katy, TX 77494-7267
Phone
(855) 501-1004
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023064134 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1132154 TX Primary

Addresses

Primary practice location

24275 Katy Fwy Ste 410
Katy, TX 77494-7267

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311001584 TX Practitioner - Nurse Practitioner 8820571524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3835 N Fwy Blvd
Suite 100
Sacramento, CA 95834-1954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132154TXMDPsychiatric/Mental Health Nurse Practitioner
2023064134TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Texas PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2026 Accepting new patients
Mark David Levine, MD Psychiatrists Professional Corporation Psychiatric/Mental Health CurrentSince Feb 2, 2026 Accepting new patients
Tranquility Behavioral Health Psychiatric/Mental Health PastSince Jan 7, 2024 Accepting new patients
Gero-Psychiatric Behavioral & Mental Health Consultants Psychiatric/Mental Health PastSince Sep 1, 2023 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

24275 Katy Fwy
Ste 410
Katy, TX 77494
Phone (713) 913-1645

Interoperability endpoints

  • Direct secure messaging: mptx.donesha.obaseki@149977.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1063296671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24275 KATY FWY STE 410",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947267",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASEKI",
        "first_name": "DONESHA",
        "middle_name": "TINSLEY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2023064134",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1132154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.