Individual provider Active NPI

Olga Cobozeva, PMHNP-BS

  • Psychiatric/Mental Health Nurse Practitioner
  • N Chelmsford, MA
National Provider Identifier
1164821864
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2267765 Issued in MA
Practice address
73 Princeton St Ste 304
N Chelmsford, MA 01863-1581
Phone
(978) 455-3141
Fax
(978) 455-3069
NPI assigned
Aug 19, 2014
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 2267765 MA Primary

Addresses

Primary practice location

73 Princeton St Ste 304
N Chelmsford, MA 01863-1581

Mailing address

73 Princeton St Ste 304
N Chelmsford, MA 01863-1581
Phone (978) 455-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150812006436 MA Practitioner - Nurse Practitioner 5193030732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oasis Behavioral Health LLCGroup PAC ID 4688925217, 5 clinicians

Practice addresses (Care Compare)

73 Princeton St
Suite 304
N Chelmsford, MA 01863-1581
Phone (978) 455-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2267765MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 1, 2018 Accepting new patients

Locations

73 Princeton St
Ste 304
North Chelmsford, MA 01863
Phone (978) 455-3141

73 Princeton St
Ste 307
North Chelmsford, MA 01863
Phone (978) 455-3141

Organizations & group practices 1

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1164821864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST STE 304",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631581",
            "telephone_number": "978-455-3141",
            "fax_number": "978-455-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST STE 304",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018631581",
            "telephone_number": "978-455-3141",
            "fax_number": "978-455-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBOZEVA",
        "first_name": "OLGA",
        "credential": "PMHNP-BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2267765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.