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FREDRIC CHARLES HARTMAN PH.D.
NPI 1053422824
Psychologist - Group Psychotherapy in Williston Park, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
436 WILLIS AVE, 4, WILLISTON PARK, NY 11596(516) 746-2487(516) 294-4810 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fredric Charles Hartman Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDRIC CHARLES HARTMAN PH.D. (NPI 1053422824) is an individual group psychotherapy provider in Williston Park, New York, licensed in New York (009350-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1053422824
Entity TypeIndividualMale
Primary Taxonomy103TP2701X
Provider Legal NameFREDRIC CHARLES HARTMANCredential: PH.D.
Location Address436 WILLIS AVE, 4Williston Park, NY 11596-2240
Mailing Address205 Harvard StEast Williston, NY 11596-1916 · (516) 746-2487 · Fax (516) 294-4810
Phone(516) 746-2487
Fax(516) 294-4810
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1053422824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License✔ Licensed in NY · 009350-1
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Also ListedPsychologistTaxonomy 103T00000X · License 009350-1 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 009350-1 (NY)
436 WILLIS AVE, Williston Park, NY 11596
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fredric Charles Hartman Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476523796
PECOS Enrollment IDI20040726001223
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MELCHIONE
Student in an Organized Health Care Education/Training Program
436 WILLIS AVE
WILLISTON PARK, NY 11596
Nassau County (516) 741-0729
MRS. NICOLE D'AMICO-STONBRAKER
Speech-Language Pathologist
436 WILLIS AVE, 3RD FLOOR
WILLISTON PARK, NY 11596
Nassau County (516) 741-0729
KATIE FARIELLO
Student in an Organized Health Care Education/Training Program
436 WILLIS AVE
WILLISTON PARK, NY 11596
Nassau County (516) 741-0729
ELAINA KALANTZOPOULOS
Behavior Analyst
436 WILLIS AVE
WILLISTON PARK, NY 11596
Nassau County (516) 741-0729
MISS MICHELLE MARY FAZZOLARI MS ED.
Behavior Analyst
436 WILLIS AVE
WILLISTON PARK, NY 11596
Nassau County (516) 233-0144
MS. MELISSA B. ATKINSON L.C.S.W.
Social Worker
436 WILLIS AVE, SUITE 4
WILLISTON PARK, NY 11596
Nassau County (516) 294-3837
AMY PLISIC
Community/Behavioral Health
436 WILLIS AVE, 3RD FLOOR
WILLISTON PK, NY 11596
Nassau County (516) 741-0729
DR. ALISSA GILDE BAROSIN PH.D.
Psychologist (Clinical)
436 WILLIS AVE, SUITE 4
WILLISTON PARK, NY 11596
Nassau County (516) 741-8299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric Hartman's NPI number?

The NPI number for Fredric Hartman is 1053422824. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Fredric Hartman located?

Fredric Hartman practices at 436 Willis Ave 4, Williston Park, NY 11596. The listed phone number is (516) 746-2487.

What is Fredric Hartman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Fredric Hartman enrolled in Medicare?

Yes. Fredric Hartman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fredric Hartman accept?

Health plans from Providence Health Plan list Fredric Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fredric Hartman was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.