Jaclyn Mouras, PSYD, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

JACLYN MOURAS, PSYD, PLLC

Practice address

27 Stoneridge Dr Ste A01
Waynesboro, VA 22980-6583

Phone

(540) 221-1846

NPI assigned

Sep 5, 2022

Last updated

Sep 5, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaclyn Mouras, PSYDNPI 1639805708

Title

Managing Control

Phone

(484) 883-4923

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Mouras, PSYD

  • Clinical Neuropsychologist
  • Fishersville, VA
  • NPI 1639805708
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Schachter, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Williamsville, NY
  • NPI 1295844280

  VA

  Medicare reassignment Care Compare group
• Alexandra Campbell Geneser, M.A., PSY.D.

  • Clinical Neuropsychologist
  • Harrisonburg, VA
  • NPI 1366889461
  NPD (past)
• Gerald R Showalter, PSY.D

  • Clinical Psychologist
  • Waynesboro, VA
  • NPI 1609847136
  NPD (past)
• Leah L Showalter, OT

  • Occupational Therapist
  • Waynesboro, VA
  • NPI 1124252671
  NPD (past)
• Beth Caillouet Arredondo, PH.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • New Orleans, LA
  • NPI 1184927626
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1467173971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BROAD ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 STONERIDGE DR STE A01",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806583",
            "telephone_number": "540-221-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 Reservoir St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018722",
            "country_code": "US",
            "telephone_number": "540-447-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACLYN MOURAS, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A",
        "authorized_official_last_name": "MOURAS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "MANAGING CONTROL",
        "authorized_official_telephone_number": "484-883-4923",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639805708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley Gibbs Hric, PHARMD
• Stanley James Hubbard, LICENSED ACUPUNCTURI
• William Bradford Huffman, M.A. M.DIV.
• Amy Hutcherson, ED.S.
• J. S. Rothrock, LLC
• James W Willis V DDS PLC (Willis & Associates: Family Dentistry)
• Katelyn Nicole James, OTD, OTR/L
• Kiri Jefferson, M.A. CF-SLP
• Jennifer E. Davis, Optometrist, PLLC (Vision Tech Optometry Center, Inc.)
• John R. Roller, D.D.S.

• Clinical Neuropsychologist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.