DR. GRAHAM JEFFREY HARTKE PSY.D.
NPI 1659623197
Psychologist in Roseland, NJ

Active since October 08, 2012Opted out of Medicare · through Jun 14, 2027
104 EAGLE ROCK AVE, ROSELAND, NJ 07068(973) 885-6315(973) 251-9461 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Graham Jeffrey Hartke Psy.d. NPPES

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

DR. GRAHAM JEFFREY HARTKE PSY.D. (NPI 1659623197) is an individual psychologist in Roseland, New Jersey, licensed in New Jersey (5014) and active in the NPI registry since October 2012. He has opted out of Medicare through June 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659623197
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. GRAHAM JEFFREY HARTKECredential: PSY.D.
Location Address104 EAGLE ROCK AVERoseland, NJ 07068-1324
Mailing Address104 Eagle Rock AveRoseland, NJ 07068-1324 · (973) 885-6315 · Fax (973) 251-9461
Fax(973) 251-9461
Sole ProprietorYes
Enumeration DateOctober 8, 2012
Last NPPES UpdateFebruary 7, 2013
NPI 1659623197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 5014
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
104 EAGLE ROCK AVE, Roseland, NJ 07068

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Graham Jeffrey Hartke Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 14, 2019 through June 14, 2027.

Opt-Out Effective DateJune 14, 2019
Opt-Out In Effect ThroughJune 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Psychologist
104 EAGLE ROCK AVE
ROSELAND, NJ 07068

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 Graham Hartke's NPI number?

The NPI number for Graham Hartke is 1659623197. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Graham Hartke located?

Graham Hartke practices at 104 Eagle Rock Ave, Roseland, NJ 07068. The listed phone number is (973) 885-6315.

What is Graham Hartke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Graham Hartke enrolled in Medicare?

No. Graham Hartke has opted out of Medicare through June 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Graham Hartke was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.