Jaclyn Mouras, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810007904 Issued in VA

Practice address

16 Ivy Ridge LN Ste A14
Fishersville, VA 22939-2354

Phone

(540) 221-1846

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaclyn Mouras PSYD PLLCGroup PAC ID 2163807652, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jaclyn Mouras, PSYD, PLLC

  • Clinical Neuropsychologist
  • Waynesboro, VA
  • NPI 1467173971
  Medicare reassignment Care Compare group NPD Authorized official
• Wellness and Action Integration, LLC

  • Health & Wellness Coach
  • Grottoes, VA
  • NPI 1922896596
  NPD Authorized official
• Maria Grazia McFarland Neuropsychology LLC

  • Clinical Psychologist
  • Fishersville, VA
  • NPI 1528923133
  NPD
• Gerald Showalter, Psy.D., P.C.

  • Clinical Neuropsychologist
  • Waynesboro, VA
  • NPI 1659689883
  NPD (past)

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1639805708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IVY RIDGE LN STE A14",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392354",
            "telephone_number": "540-221-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 IVY RIDGE LN STE A14",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392354",
            "telephone_number": "540-221-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURAS",
        "first_name": "JACLYN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007904",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810007904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Elizabeth Morris, AUD
• Jayme Elizabeth Morris, LPTA
• Melanie L Morris, CNS
• Olivia Morrow, PA-C
• Loren Moscinski, PA-C
• Andrew Moyer, PHARM.D.
• Douglas P Murphy, M.D.
• Gary Charles Murray, M.D.
• Shamsun Nahar, MD
• National Seating & Mobility, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.