Healthcare Provider Details

I. General information

NPI: 1023427622
Provider Name (Legal Business Name): ERICKA COBOS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 COMMERCIAL ST SUITE 330
WORCESTER MA
01608-1726
US

IV. Provider business mailing address

404 CAMBRIDGE ST
WORCESTER MA
01610-2678
US

V. Phone/Fax

Practice location:
  • Phone: 508-752-4665
  • Fax: 508-752-0947
Mailing address:
  • Phone: 508-713-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: