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DESIRAE MARIE MALONE CRPA-P
NPI 1124817788
Peer Specialist in Canton, NY

Active since May 01, 2025
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617(315) 386-2189(315) 386-2435 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Desirae Marie Malone Crpa-p NPPES

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

DESIRAE MARIE MALONE CRPA-P (NPI 1124817788) is an individual peer specialist in Canton, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1124817788
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDESIRAE MARIE MALONECredential: CRPA-P
Location Address80 STATE HIGHWAY 310 STE 1Canton, NY 13617-1493
Mailing Address1200 Santamont RdPotsdam, NY 13676-3334 · (315) 212-6943 · Fax (315) 386-2435
Phone(315) 386-2189
Fax(315) 386-2435
Sole ProprietorNo
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1124817788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

80 STATE HIGHWAY 310 STE 1, Canton, NY 13617
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Other Providers at the Same Location NPPES 18

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

DR. ANTOINE GABRIEL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
KRISTINA BETH KELLY-SNOW MS IN MENTAL HEALTH
Counselor (Mental Health)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
PATRICIA PIELNIK MD
Psychiatry & Neurology (Psychiatry)
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2167
CYNTHIA J PROVOW MD
General Practice
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II
Counselor (Mental Health)
80 STATE HIGHWAY 310 STE 1, ST. LAWRENCE COUNTY COMMUNITY
CANTON, NY 13617
St. Lawrence County (315) 386-2167
MS. KAYLIE E. DESHANE CASAC
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
RANDYL SHANE CHASE
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
HEATHER DEDRICK RN
Registered Nurse (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189

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 Desirae Malone's NPI number?

The NPI number for Desirae Malone is 1124817788. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Desirae Malone located?

Desirae Malone practices at 80 State Highway 310 Ste 1, Canton, NY 13617. The listed phone number is (315) 386-2189.

What is Desirae Malone's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Desirae Malone was last updated on May 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.