Tracey Michelle Watler

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1862311 Issued in NY

Practice address

82 Arlo Rd Apt 1B
Staten Island, NY 10301-3879

Phone

(347) 885-3004

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tmata@flesonline.org

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.

• The Growing Village

  • Behavior Analyst
  • Staten Island, NY
  • NPI 1063347144
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1083286116",
    "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": "82 ARLO RD APT 1B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013879",
            "telephone_number": "347-885-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLER",
        "first_name": "TRACEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1862311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tmata@flesonline.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "82 Arlo Rd Apt 1B",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103013879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paloma Wasserstein
• Sharon Helene Wasserstein, MSCCCSLP
• Watch Me Shine SLP PLLC
• Stephen D Waterford, MD
• Tania Waters, MS SP ED
• Charles Michael Watson
• Gregory L Watson, N.P.
• Melissa Marie Watson
• Rashad Watson, CLSW
• Tiffany Watson, LMHC

• Student in an Organized Health Care Education/Training Program in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.