Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Mouras, PSYD

Individual provider Clinical Psychologist · NPI 1639805708

Jaclyn Mouras, PSYD is a Clinical Psychologist in Fishersville, Virginia. Qualified in 2020, 6 years ago. Practices with Jaclyn Mouras PSYD PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

16 Ivy Ridge Ln Ste A14
Fishersville, VA 22939-2354
Phone: (540) 221-1846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 0810007904 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810007904 (VA)
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1639805708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 29, 2022
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address16 Ivy Ridge Ln Ste A14, Fishersville, VA 22939-2354

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jaclyn Mouras Psyd Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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