Deanna Raymond Allen, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

06572-1 Issued in NY

Practice address

100 Clinton St
Fayetteville, NY 13066-2045

Phone

(315) 218-5909

NPI assigned

Jun 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dallen695416@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Counseling Services of Cortland County, Inc.

  • Counselor
  • Cortland, NY
  • NPI 1336163963
  Medicare reassignment
• Anil K. Verma, MD

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1396820825
  NPD (past)
• Madison County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wampsville, NY
  • NPI 1689780546
  NPD (past)
• Madison County Mental Health Department-Cedar House

  • Clinic/Center
  • Oneida, NY
  • NPI 1477667137
  NPD (past)
• Psychiatric Wellness Care, PLLC

  • Psychiatry Physician
  • Syracuse, NY
  • NPI 1407985492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1407894520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLINTON ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662045",
            "telephone_number": "315-218-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLINTON ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662045",
            "telephone_number": "315-218-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND ALLEN",
        "first_name": "DEANNA",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "06572-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Profetto, FNP
• Psychological Services for Self and Family, PLLC
• Ran D Anbar, Inc
• Susan M Randall-Mantella, RNNP
• Allison Ray, MS, LMHC, NCC
• Cary Rector, M.S., LMHC
• Tonja S. Rector, LMFT
• William C Redfield, MSW, M. DIV.
• Marilyn E Rees, MPS
• Simone Reid, DDS

• Physician Assistant in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.