Individual provider Active NPI

William George, D.O.

  • Psychiatry Physician
  • Maywood, IL
National Provider Identifier
1295149797
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036171344 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 281371 NY
Psychiatry Physician 2084P0800X 25MB11756300 NJ
Psychiatry Physician 2084P0800X 281371 NY
Psychiatry Physician 2084P0800X OS022745 PA
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 02008638A IN
Child & Adolescent Psychiatry Physician 2084P0804X 183329 OR
Psychiatry Physician 2084P0800X 02008638A IN
Psychiatry Physician 2084P0800X 036171344 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

571 Saint Josephs Blvd Ste 304
Elmira, NY 14901-3234
Phone (607) 737-7012

Other practice location 1

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-4286

Other practice location 2

1101 Nott St
Schenectady, NY 12308-2489
Phone (518) 243-4000

Other practice location 3

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4866

Other practice location 4

571 Saint Josephs Blvd Ste 304
Elmira, NY 14901-3234
Phone (607) 737-7012

Other identifiers 1

IdentifierTypeStateIssuer
05731860MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT, NJ, PA, WI, IL, MO7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20190510001733 NY Practitioner - Psychiatry 4082901087 Reassigns benefits to 4 organizations
I20230509001433 VT Practitioner - Osteopathic Manipulative MedicinePractitioner - Psychiatry 4082901087 Reassigns benefits to 2 organizations
I20230915000028 NJ Practitioner - Psychiatry 4082901087 Reassigns benefits to 2 organizations
I20240223002342 PA Practitioner - Psychiatry 4082901087 Reassigns benefits to 4 organizations
I20240912002682 WI Practitioner - Psychiatry 4082901087 Reassigns benefits to 2 organizations
I20240924000452 IL Practitioner - Psychiatry 4082901087 Reassigns benefits to 4 organizations
I20241217001697 MO Practitioner - Psychiatry 4082901087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians
Arnot Medical Services PLLCGroup PAC ID 0840450748, 91 clinicians

Practice addresses (Care Compare)

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4210

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445

350 Engle St
Englewood, NJ 07631-1898
Phone (201) 292-1400

555 Saint Josephs Blvd
Suite E G1
Elmira, NY 14901-3223
Phone (607) 737-7012

559 W Germantown Pike
East Norriton, PA 19403-4250

571 Saint Josephs Blvd
Suite 304
Elmira, NY 14901-3234
Phone (607) 737-7012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS022745PAMDPsychiatry Physician
281371NYMDChild & Adolescent Psychiatry Physician
183329ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Medical Services PLLC CurrentSince Jul 1, 2019 Accepting new patients
Gifford Medical Center Inc CurrentSince May 1, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Mar 1, 2025 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Mar 1, 2025 Accepting new patients
Gifford Medical Center Inc. CurrentSince May 1, 2023 Accepting new patients
Fornance Physician Services, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Oct 11, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Aug 28, 2024 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Loyola University Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 1, 2023 Accepting new patients
Specialty Physicians of Illinois, LLC CurrentSince Oct 11, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 20, 2024 Accepting new patients
Fornance Physician Services Inc CurrentSince Nov 28, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Physician Partners of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Oct 11, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 18, 2024 Accepting new patients
Center for Family Guidance, PC Psychiatry CurrentSince Jun 2, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jan 1, 2026 Accepting new patients
Albany Medical College CurrentSince Oct 3, 2023 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 18, 2024 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Mar 1, 2025 Accepting new patients
Albany Medical College CurrentSince Oct 3, 2023 Accepting new patients
Agnesian Healthcare Inc CurrentSince Aug 28, 2024 Accepting new patients
Loyola University Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Albany Medical College Psychiatry CurrentSince Oct 3, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Mar 1, 2025 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Nov 28, 2023 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
SSM Cardinal Glennon Childrens Hospital Psychiatry CurrentSince Jul 12, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Nov 20, 2024 Accepting new patients
Main Line Healthcare CurrentSince Apr 1, 2024 Accepting new patients
Specialty Physicians of Illinois, LLC Current Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Jul 12, 2025 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients

Locations (25 of 43)

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

35318 Eagle Way
Chicago, IL 60678

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

3800 Park Ave
Saint Louis, MO 63110
Phone (314) 577-5600

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

350 Engle St
#4E
Englewood, NJ 07631
Phone (201) 292-1400

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

200 Madison Ave
Fl 3
Elmira, NY 14901
Phone (607) 734-1581

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

Interoperability endpoints

  • Direct secure messaging: william.georgedo.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: wdgeorge@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: william.george@arn.eclinicaldirectplus.com
  • Direct secure messaging: wgeorge57057@albanymed.direct-ci.com
  • Direct secure messaging: wgeorge518823@direct-ehr-ssmhc.com

Organizations & group practices 45

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 45

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1295149797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD STE 304",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013234",
            "telephone_number": "607-737-7012",
            "fax_number": "607-733-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Nott St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082489",
            "country_code": "US",
            "telephone_number": "518-243-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4866",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "571 Saint Josephs Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149013234",
            "country_code": "US",
            "telephone_number": "607-737-7012",
            "fax_number": "607-733-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "281371",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB11756300",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "281371",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS022745",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "02008638A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "183329",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "02008638A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036171344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05731860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.