Jason Lagrand Mouritsen, PSYD
Individual provider Active NPI Psychologist · Alamo, NV
NPI 1033547724 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1033547724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY0794 (NV)
- Practice address
- PO Box 436
Alamo, NV 89001-0436 - Phone
- (725) 222-0461
- NPI assigned
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lincoln County Hospital District
Practice addresses (Care Compare)
PO Box
Caliente, NV 89008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251215002440 | NV | Practitioner - Clinical Psychologist | 1456844034 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0794 | NV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Hospital District | Current |
Accepting new patients | |
| Battle Ready, PLLC | Psychologist | Current |
Accepting new patients |
| Lincoln County Hospital District | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PY0794 | NV | Yes |
Addresses
Primary practice location
PO Box 436
Alamo, NV 89001-0436
Mailing address
PO Box 436
Alamo, NV 89001-0436
Phone (725) 222-0461
Other providers in Alamo, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.