DESIRAE MARIE MALONE CRPA-P
NPI 1124817788
Peer Specialist in Canton, NY
NPI Status: Active since May 01, 2025
Contact Information
80 STATE HIGHWAY 310 STE 1
CANTON, NY
ZIP 13617
Phone: (315) 386-2189
Fax: (315) 386-2435
- Individual
- Female
- Peer Specialist
About DESIRAE MALONE
This page provides the complete NPI Profile along with additional information for Desirae Malone, a provider established in Canton, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1124817788 assigned on May 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1124817788
- Provider Name
- DESIRAE MARIE MALONE CRPA-P
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617
- Location Phone
- (315) 386-2189
- Location Fax
- (315) 386-2435
- Mailing Address
- 1200 SANTAMONT RD POTSDAM, NY 13676
- Mailing Phone
- (315) 212-6943
- Mailing Fax
- (315) 386-2435
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-01-2025
- Last Update Date
- 05-01-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- NY
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 8 | 1 | 7 | 7 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 16 | 1 | 14 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 6 + 1 + 1 + 4 + 7 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1124817788 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346371705 | DR. ANTOINE GABRIEL MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2167 |
| 1447667878 | KRISTINA BETH KELLY-SNOW MS IN MENTAL HEALTH Individual | Counselor (Mental Health) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2167 |
| 1043304645 | PATRICIA PIELNIK MD Individual | Psychiatry & Neurology (Psychiatry) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2167 |
| 1922288844 | CYNTHIA J PROVOW MD Individual | General Practice | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1376827196 | MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II Individual | Counselor (Mental Health) | 80 STATE HIGHWAY 310 STE 1 ST. LAWRENCE COUNTY COMMUNITY CANTON, NY 13617 (315) 386-2167 |
| 1669879060 | MS. KAYLIE E. DESHANE CASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1689232860 | RANDYL SHANE CHASE Individual | Counselor (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1659985158 | MRS. TRACY HART CRPA-P Individual | Peer Specialist | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1891428157 | HEATHER DEDRICK RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1699898635 | ST LAWRENCE COUNTY Organization | Community/Behavioral Health | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2167 |
| 1598441040 | ROBERT WILLIAM LAFAVER Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1760227425 | REBECCA SUE LOBDELL RN Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
| 1891285631 | BRIANNA FOSTER Individual | Social Worker (Clinical) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2167 |
| 1548797194 | NATASHA DUNCAN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2048 |
| 1578387841 | TRICIA MARIE CRITES CASAC T Individual | Counselor (Addiction (Substance Use Disorder)) | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2188 |
| 1568274124 | JESELYN SIMPSON RN Individual | Registered Nurse | 80 STATE HIGHWAY 310 STE 1 CANTON, NY 13617 (315) 386-2189 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124817788, enumerated in the NPI registry as an "individual" on May 01, 2025
The provider is located at 80 State Highway 310 Ste 1 Canton, Ny 13617 and the phone number is (315) 386-2189
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on May 01, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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