Healthcare Provider Details

I. General information

NPI: 1649124892
Provider Name (Legal Business Name): DUAL MINDS INTEGRATIVE PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 BURNCOAT ST
WORCESTER MA
01606-1407
US

IV. Provider business mailing address

PO BOX 326
LEICESTER MA
01524-0326
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8354
  • Fax:
Mailing address:
  • Phone: 508-233-8354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILY CABRERA
Title or Position: OWNER
Credential: EDD, MSN, CAGS, PMHN
Phone: 508-233-8354