MEDICARE: PERSON CENTERED NEUROPSYCHOLOGY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1740066141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSON CENTERED NEUROPSYCHOLOGY, LLC

Provider Business Mailing Address
First Line	:	980 NORTHFIELD RD
Second Line	:
City	:	WATERTOWN
State	:	CT
Zip	:	06795-1421
Country	:	US
Telephone Number	:	203-209-8861
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 MEADOW ST UNIT 1
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3504
Country	:	US
Telephone Number	:	203-513-3190
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/NEUROPSYCHOLOGIST
Name	:	DR. LASHA CORBETT
Credential	:	PSY.D.
Telephone Number	:	203-209-8861

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	10/21/2023

Similar Medicare Providers

1972501922 — CATHERINE A LAVOIE MSN, APRN
Practice Location Address:

15 MEADOW ST STE 1
LITCHFIELD, CT
06759-3504

Practice Phone: 860-488-1919
Practice Fax:

1134593304 — NEW PATHS FORWARD, LLC
Practice Location Address:

15 MEADOW ST
LITCHFIELD, CT
06759-3504

Practice Phone: 203-347-0377
Practice Fax:

1528426343 — DR JANE CLARK LLC
Practice Location Address:

15 MEADOW ST
LITCHFIELD, CT
06759-3504

Practice Phone: 860-490-0800
Practice Fax: 888-859-4374

1518590736 — NU BLOOM COUNSELING
Practice Location Address:

15 MEADOW ST UNIT 1
LITCHFIELD, CT
06759-3504

Practice Phone: 860-717-2833
Practice Fax:

1972469823 — PAUL KUCZO
Practice Location Address:

457 BANTAM RD
LITCHFIELD, CT
06759-3225

Practice Phone: 860-387-7349
Practice Fax:

1801881651 — LITCHFIELD AMBULANCE ASSOCIATION INC
Practice Location Address:

11 EAST ST
LITCHFIELD, CT
06759-3601

Practice Phone: 860-567-9132
Practice Fax:

Directions to “PERSON CENTERED NEUROPSYCHOLOGY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.