Organization Active NPI

The Growing Village

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1063347144
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
THE GROWING VILLAGE
Practice address
4 Minthorne St
Staten Island, NY 10301-3241
Phone
(347) 885-3004
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Tracey Watler, MDNPI 1083286116
Title
Special Education
Phone
(347) 885-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4 Minthorne St
Staten Island, NY 10301-3241

Mailing address

82 Arlo Rd Apt 1B
Staten Island, NY 10301-3879
Phone (347) 885-3004

National Provider Directory

National Provider Directory

Locations

4 Minthorne St
Staten Island, NY 10301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1063347144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 ARLO RD APT 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013879",
            "telephone_number": "347-885-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MINTHORNE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013241",
            "telephone_number": "347-885-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWING VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "WATLER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "SPECIAL EDUCATION",
        "authorized_official_telephone_number": "347-885-3004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.