JACLYN MOURAS PSYD
NPI 1639805708
Clinical Neuropsychologist in Fishersville, VA

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment
16 IVY RIDGE LN STE A14, FISHERSVILLE, VA 22939(540) 221-1846 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Aug 3, 2022, Jul 29, 2022 (3 updates tracked since 2022).

About Jaclyn Mouras Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN MOURAS PSYD (NPI 1639805708) is an individual clinical neuropsychologist in Fishersville, Virginia, licensed in Virginia (0810007904) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639805708
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameJACLYN MOURASCredential: PSYD
Location Address16 IVY RIDGE LN STE A14Fishersville, VA 22939-2354
Mailing Address16 Ivy Ridge Ln Ste A14Fishersville, VA 22939-2354 · (540) 221-1846
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2022
Last NPPES UpdateApril 25, 20253 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
NPI 1639805708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in VA · 0810007904
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810007904 (VA)
Also ListedHealth and Wellness CoachTaxonomy 171400000X
16 IVY RIDGE LN STE A14, Fishersville, VA 22939

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Mouras Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113302613
PECOS Enrollment IDI20220920001984
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
1,068 services163 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
726 services182 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
182 services182 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
182 services182 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
163 services163 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
128 services19 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
16 IVY RIDGE LN STE A14
FISHERSVILLE, VA 22939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Mouras's NPI number?

The NPI number for Jaclyn Mouras is 1639805708. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Jaclyn Mouras located?

Jaclyn Mouras practices at 16 Ivy Ridge Ln Ste A14, Fishersville, VA 22939. The listed phone number is (540) 221-1846.

What is Jaclyn Mouras's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jaclyn Mouras enrolled in Medicare?

Yes. Jaclyn Mouras is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaclyn Mouras was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.