Individual provider

George Wixsom, MD

Child & Adolescent Psychiatry Physician Medicare enrolled

George Wixsom, MD is a Child & Adolescent Psychiatry Physician in Long Beach, NY, registered under NPI 1114094612.

Getting there

The practice address on file is 20 W PARK AVE SUITE 310B, Long Beach, NY 11561. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

20 W PARK AVE SUITE 310B, Long Beach, NY 11561 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
224685-1 NY Child & Adolescent Psychiatry Physician primary

This provider holds licence 224685-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Psychiatry
PAC ID
5496778003

Medicare enrolment is recorded as approved under the provider type Practitioner - Psychiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Child & Adolescent Psychiatry covers

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. NUCC Health Care Provider Taxonomy, code 2084P0804X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114094612 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 29, 2006
Last updatedJun 28, 2013
StatusActive
Sole proprietorNo
CredentialMD
Practice address 20 W PARK AVE
SUITE 310B
Long Beach, NY 11561
(516) 978-1612
Fax (516) 374-2261
Mailing address 50 W. HAWTHORNE AVE.
Woodmere, NY 11598
Other identifiers 02406628 (NY)
This record was last updated on Jun 28, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1114094612 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 0 9 4 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 0 9 8 6 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114094612?
NPI 1114094612 is the National Provider Identifier assigned to George Wixsom, MD in Long Beach, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Child & Adolescent Psychiatry cover?
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
How do I contact George Wixsom, MD?
The phone number on file with NPPES is (516) 978-1612, last updated Jun 28, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does George Wixsom, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114094612 a valid number?
Yes. 1114094612 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.