George Wixsom, MD
NPI 1114094612 · Child & Adolescent Psychiatry Physician · Long Beach, NY
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
George Wixsom, MD is a Child & Adolescent Psychiatry Physician provider in Long Beach, NY (NPI 1114094612).
Provider details
- NPI number
- 1114094612
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 224685-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2013-06-28
Frequently asked questions
- What is George Wixsom's NPI number?
- George Wixsom's National Provider Identifier (NPI) is 1114094612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is George Wixsom's specialty?
- George Wixsom is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is George Wixsom located?
- George Wixsom's practice location on file with NPPES is 20 W Park Ave, Long Beach, NY 11561-2033.
- What is George Wixsom's phone number?
- The practice phone number listed in the NPPES registry for George Wixsom is (516) 978-1612.
- Does George Wixsom accept Medicare?
- George Wixsom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is George Wixsom's NPI active?
- Yes — George Wixsom's NPI (1114094612) is active in the NPPES registry as of the last update on 2013-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.