Individual provider Active NPI

Fredric Charles Hartman, PH.D.

  • Group Psychotherapy Psychologist
  • Williston Park, NY
National Provider Identifier
1053422824
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
009350-1 Issued in NY
Practice address
436 Willis Ave
4
Williston Park, NY 11596-2240
Phone
(516) 746-2487
Fax
(516) 294-4810
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009350-1 NY
Psychologist 103T00000X 009350-1 NY
Group Psychotherapy Psychologist 103TP2701X 009350-1 NY Primary

Addresses

Primary practice location

436 Willis Ave
4
Williston Park, NY 11596-2240

Mailing address

205 Harvard St
East Williston, NY 11596-1916
Phone (516) 746-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001223 NY Practitioner - Clinical Psychologist 3476523796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99 Hillside Ave
Suite 99L
Williston Park, NY 11596-2333
Phone (516) 746-2487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009350-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartman & Hartman Psychologists, P. C. CurrentSince Jul 1, 2012 Accepting new patients

Locations

99 Hillside Ave
Ste 99L
Williston Pk, NY 11596
Phone (516) 741-8500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053422824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HARVARD ST",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115961916",
            "telephone_number": "516-746-2487",
            "fax_number": "516-294-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 WILLIS AVE",
            "address_2": "4",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962240",
            "telephone_number": "516-746-2487",
            "fax_number": "516-294-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "FREDRIC",
        "middle_name": "CHARLES",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009350-1",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009350-1",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "009350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.