IndividualActive
Ebony Deravariere
NPI 1669271029 · Peer Specialist · Schenectady, NY
Ebony Deravariere is a Peer Specialist provider in Schenectady, NY (NPI 1669271029).
Provider details
- NPI number
- 1669271029
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8552-P (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Franklin St Ste 204
Schenectady, NY 12305-2107
Phone: (518) 372-7031
Fax: (518) 372-7064
Street-level locationGet directions
Mailing address
1116 Pleasant St
Schenectady, NY 12303-1714
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Frequently asked questions
- What is Ebony Deravariere's NPI number?
- Ebony Deravariere's National Provider Identifier (NPI) is 1669271029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Deravariere's specialty?
- Ebony Deravariere is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Ebony Deravariere located?
- Ebony Deravariere's practice location on file with NPPES is 600 Franklin St Ste 204, Schenectady, NY 12305-2107.
- What is Ebony Deravariere's phone number?
- The practice phone number listed in the NPPES registry for Ebony Deravariere is (518) 372-7031.
- Is Ebony Deravariere's NPI active?
- Yes — Ebony Deravariere's NPI (1669271029) is active in the NPPES registry as of the last update on 2026-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.