Individual provider Active NPI

Charity Mensah Des Bordes, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, TX
National Provider Identifier
1699497388
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1089971 Issued in TX
Practice address
2611 Yellow Pear Way
Fresno, TX 77545-1440
Phone
(832) 771-3470
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1089971 TX Primary

Addresses

Primary practice location

2611 Yellow Pear Way
Fresno, TX 77545-1440

Mailing address

2611 Yellow Pear Way
Fresno, TX 77545-1440
Phone (832) 771-3470

Other names 1

  • Charity Mensah Former name

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
I20230915000344 TX Practitioner - Nurse Practitioner 8123482726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Winds Psychiatry PLLCGroup PAC ID 0941673537, 3 clinicians

Practice addresses (Care Compare)

1016 S LN
Houston, TX 77088-6148
Phone (832) 962-8656

14090 S W Fwy
Suite 300
Sugar Land, TX 77478-3679
Phone (832) 771-3470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Behavioral and Wellness Services PLLC Psychiatric/Mental Health CurrentSince Oct 7, 2024 Accepting new patients
Fourwinds Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 1, 2023 Accepting new patients

Locations

14090 Southwest Fwy
Ste 300
Sugar Land, TX 77478
Phone (346) 348-0308

Organizations & group practices 2

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1699497388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 YELLOW PEAR WAY",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775451440",
            "telephone_number": "832-771-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 YELLOW PEAR WAY",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775451440",
            "telephone_number": "832-771-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSAH DES BORDES",
        "first_name": "CHARITY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1089971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "MENSAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, TX

Sources for this page

Verify at the official NPI Registry.