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EBONY DERAVARIERE
NPI 1669271029
Peer Specialist in Schenectady, NY

Active since March 10, 2025
600 FRANKLIN ST STE 204, SCHENECTADY, NY 12305(518) 372-7031(518) 372-7064 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, Apr 1, 2025, Mar 10, 2025 (3 updates tracked since 2025).

About Ebony Deravariere NPPES

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

EBONY DERAVARIERE (NPI 1669271029) is an individual peer specialist in Schenectady, New York, licensed in New York (8552-P) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1669271029
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameEBONY DERAVARIERE
Location Address600 FRANKLIN ST STE 204Schenectady, NY 12305-2107
Mailing Address1116 Pleasant StSchenectady, NY 12303-1714
Phone(518) 372-7031
Fax(518) 372-7064
Sole ProprietorNo
Enumeration DateMarch 10, 2025
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1669271029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NY · 8552-P
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.
600 FRANKLIN ST STE 204, Schenectady, NY 12305
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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.

MICHAEL COFFIN
Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
YOLANDA CRUZ
Licensed Practical Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
NANCY HINDS
Social Worker
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
CINDY REINER RN
Registered Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
AMY L GIOVANNANGELO
Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
GABRIELLE M CLARK
Registered Nurse
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
ROBERT ANTHONY SCHEER
Counselor (Mental Health)
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031
JILLAINE SPAGNOLA
Counselor (Addiction (Substance Use Disorder))
600 FRANKLIN ST STE 204
SCHENECTADY, NY 12305
Schenectady County (518) 372-7031

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 Ebony Deravariere's NPI number?

The NPI number for Ebony Deravariere is 1669271029. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Ebony Deravariere located?

Ebony Deravariere practices at 600 Franklin St Ste 204, Schenectady, NY 12305. The listed phone number is (518) 372-7031.

What is Ebony Deravariere'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 Ebony Deravariere was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.