Individual provider Active NPI

Datonye Okorite Charles

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1386264422
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A195589 Issued in CA
Practice address
350 University Ave Ste 101
Sacramento, CA 95825-6516
Phone
(866) 788-5241
NPI assigned
Apr 18, 2020
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T7181 TX
Psychiatry Physician 2084P0800X A195589 CA Primary

Addresses

Primary practice location

350 University Ave Ste 101
Sacramento, CA 95825-6516

Mailing address

1 Baylor PLZ
Houston, TX 77030-3411
Phone (713) 798-5928

Other practice location 1

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240213001511 TX Practitioner - Psychiatry 3375986714 Reassigns benefits to 2 organizations
I20241004000144 CA Practitioner - Psychiatry 3375986714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Health Solutions TX PAGroup PAC ID 9931580438, 6 clinicians
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 480
Houston, TX 77004-6942
Phone (844) 867-8444

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

350 University Ave
Suite 101
Sacramento, CA 95825-6516
Phone (916) 932-0380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A195589CAMDPsychiatry Physician
T7181TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 2, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Jan 2, 2024 Accepting new patients
Mindful Health Solutions TX PA Psychiatry CurrentSince Jun 5, 2025 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Sep 1, 2024 Accepting new patients

Locations

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

3300 Webster St
Ste 803
Oakland, CA 94609

350 University Ave
Ste 101
Sacramento, CA 95825
Phone (916) 932-0381

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540

1600 W 38th St
Ste 322
Austin, TX 78731

1600 W 38th St
Ste 403
Austin, TX 78731
Phone (832) 918-3550

1200 Binz St
Ste 480
Houston, TX 77004
Phone (713) 521-0039

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1386264422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 UNIVERSITY AVE STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256516",
            "telephone_number": "866-788-5241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Taub Loop",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301608",
            "country_code": "US",
            "telephone_number": "713-873-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "DATONYE",
        "middle_name": "OKORITE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T7181",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A195589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.