Individual provider Active NPI

Tzippy Protovin

  • Behavior Analyst
  • Staten Island, NY
National Provider Identifier
1366341133
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
47 Garden St
Staten Island, NY 10314-4027
Phone
(718) 702-6985
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

47 Garden St
Staten Island, NY 10314-4027

Mailing address

47 Garden St
Staten Island, NY 10314-4027
Phone (718) 702-6985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1366341133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GARDEN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144027",
            "telephone_number": "718-702-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 GARDEN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144027",
            "telephone_number": "718-702-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTOVIN",
        "first_name": "TZIPPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_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 Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.