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DR. EUGENE A. SHOOTER, JR. PH.D.
NPI 1720024821
Psychologist - Clinical in Alexandria, VA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
5276 DAWES AVE, ALEXANDRIA, VA 22311(703) 379-7350(703) 379-7352 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eugene A. Shooter, Jr. Ph.d. NPPES

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

DR. EUGENE A. SHOOTER, JR. PH.D. (NPI 1720024821) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (00810002612) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1993).

NPPES Registry Identity

NPI1720024821
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EUGENE A. SHOOTER, JR.Credential: PH.D.
Location Address5276 DAWES AVEAlexandria, VA 22311-1404
Mailing Address5276 Dawes AveAlexandria, VA 22311-1404 · (703) 379-7350 · Fax (703) 379-7352
Phone(703) 379-7350
Fax(703) 379-7352
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1993
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 6, 2008
✔ NPI 1720024821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in VA · 00810002612✔ Licensed in DC · PSY1878✔ Licensed in HI · PSY518
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5276 DAWES AVE, Alexandria, VA 22311
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Other Names 1

Other Name (5)Gene Shooter, Jr. Ph.d.

Other Identifiers 14

Other453769VA · Pci Anthem
Other2787110VA · Pci Aetna
Other142975VA · Anthem Healthkeepers
Medicare ID-Type UnspecifiedOOB225PO9VA · Pci Va Medicare
Medicare PIN007575C24DC
Other48900016VA · Carefirst Bc/bs
Other110936VA · Pci Aps
Other142975VA · T-med Bc/bs Va
Other158367VA · Pci Tricare
Other158367VA · Pci Value Options
OtherG3960017DC · Bcbs Dc
Other2122539VA · Mamsi
Other228758VA · Pci Kaiser Permanente
Other9123953VA · Phcs

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

Dr. Eugene A. Shooter, Jr. Ph.d. 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 ID1153736525
PECOS Enrollment IDI20210217000061
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MID-ATLANTIC MOBILE MEDICAL IMAGING, LLC.
Nuclear Medicine (Nuclear Cardiology)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (571) 777-8494
THOMAS JEFFREY NEAL PHD
Psychologist (Clinical)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 379-3750
MRS. CYNTHIA TITUS GREENSPAN LCSW
Social Worker (Clinical)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 379-7350
TESFAYE TETEMKE MD
Internal Medicine
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (571) 777-8494
SKYLINE MEDICAL CENTER INC
Internal Medicine
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (571) 777-8494
DR. RACHEL SOKOL OPPER PH.D.
Psychologist (Clinical)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 379-7350
MS. GARNET NELSON LCSW-C
Social Worker (Clinical)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 748-1055
DR. LINDA HAAS TARR PH.D.
Psychologist (Clinical)
5276 DAWES AVE
ALEXANDRIA, VA 22311
Alexandria City (703) 379-7350

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 Eugene Shooter, Jr.'s NPI number?

The NPI number for Eugene Shooter, Jr. is 1720024821. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Gene Shooter, Jr. Ph.D..

Where is Eugene Shooter, Jr. located?

Eugene Shooter, Jr. practices at 5276 Dawes Ave, Alexandria, VA 22311. The listed phone number is (703) 379-7350.

What is Eugene Shooter, Jr.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Eugene Shooter, Jr. enrolled in Medicare?

Yes. Eugene Shooter, Jr. 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 Eugene Shooter, Jr. was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.