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MALIDA DESVARIEUX
NPI 1063154946
Counselor in Buffalo, NY

Active since April 11, 2022PECOS Enrolled
1500 BROADWAY ST, BUFFALO, NY 14212(716) 895-6700(716) 892-0175 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Malida Desvarieux NPPES

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

MALIDA DESVARIEUX (NPI 1063154946) is an individual counselor in Buffalo, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063154946
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMALIDA DESVARIEUX
Location Address1500 BROADWAY STBuffalo, NY 14212-1862
Mailing Address1500 Broadway StBuffalo, NY 14212-1862 · (716) 895-6700 · Fax (716) 892-0175
Phone(716) 895-6700
Fax(716) 892-0175
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1063154946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1500 BROADWAY ST, Buffalo, NY 14212
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malida Desvarieux is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DR. CROMWELL PETER MSUKU MD
Counselor (Mental Health)
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 893-0062
MRS. BEVERLY ANN HORNUNG PNP
Nurse Practitioner (Pediatrics)
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 891-7711
MRS. VANESSA GAIL JONES
Counselor
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 249-5166
MRS. MARY ANN GEREVICS RN
Registered Nurse
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 891-7711
SHAQUITA MARIE WILSON MSW
Social Worker
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 422-2002
CHERYL MELBROD NURSE
Registered Nurse
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 891-7711
LEAH KATHERINE GORSLINE RPA-C
Physician Assistant
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 891-2015
MR. WILLIAM DANIEL STRACHAN LCSW-R
Counselor (Mental Health)
1500 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 893-0022

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 Malida Desvarieux's NPI number?

The NPI number for Malida Desvarieux is 1063154946. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Malida Desvarieux located?

Malida Desvarieux practices at 1500 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 895-6700.

What is Malida Desvarieux's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Malida Desvarieux enrolled in Medicare?

Yes. Malida Desvarieux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Malida Desvarieux was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.