Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124817788 Individual Practitioner Female Practitioner

Desirae Marie Malone , CRPA-P

Peer Specialist • Canton, NY

Professional Overview & Biography Verified Profile Summary

Desirae Malone, CRPA-P is a registered healthcare professional specializing in Peer Specialist in Canton, NY. Practice services are available at 80 STATE HIGHWAY 310 STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 State Highway 310 Ste 1

Canton, NY 136171493

Telephone 3153862189
Fax 3153862435
Associated Practice Facility / Clinic
🏢 St Lawrence County Facility NPI 1699898635

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Canton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Canton, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-01
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Patricia Pielnik , MD

Psychiatry & Neurology - Psychiatry

NPI 1043304645

Doctor of Medicine (M.D.)

Mavis Bush

Counselor - Addiction (Substance Use Disorder)

NPI 1043400658
NPI 1053430488

RPAC

Ronee Cree , CERPA

Peer Specialist

NPI 1063063683
Ruthann Matthews , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1073772133
Nereida Diaz

Counselor

NPI 1104947498

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2025

Registered at 80 STATE HIGHWAY 310 STE 1, CANTON, NY 136171493 (Tel: 3153862189)

📍
Updated Business Mailing Address May 01, 2025

Registered at 1200 SANTAMONT RD, POTSDAM, NY 136763334 (Tel: 3152126943)

👤
Provider Name / Credentials Updated May 01, 2025

Recorded as DESIRAE MALONE, CRPA-P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124817788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2025
Last Update: May 01, 2025
Sole Proprietor: No

Mailing Address

1200 Santamont Rd

Potsdam, NY 136763334

Phone: 3152126943

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.