Dr. Graham Jeffrey Hartke, Psy.D.
Psychologist in Roseland, NJ. Individual provider (NPI-1).
NPI number1659623197
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1659623197
- Entity type
- Individual (NPI-1)
- Name
- Dr. Graham Jeffrey Hartke
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2012
- Last updated
- Feb 7, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jun 14, 2019 to Jun 14, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 5014 | NJ | Yes |
Practice location
104 Eagle Rock AveRoseland, NJ 07068-1324
Phone 973-885-6315 · Fax 973-251-9461
Mailing address
104 Eagle Rock AveRoseland, NJ 07068-1324
Phone 973-885-6315 · Fax 973-251-9461
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in Roseland, NJ
- Rhea Bensman, PSYDNPI 1154480903
- Elaine C Terry Garrod, PSYDNPI 1083768469
- Ann Combs Stainton, PH.D.NPI 1154343655
- West Essex Psychological Associates, LLCNPI 1841612280
All 5 Psychologist providers in Roseland · All 213 providers in Roseland
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