Organization Active NPI

Good Shepherd Management Corporation

  • Substance Abuse Rehabilitation Facility
  • Brooklyn, NY
National Provider Identifier
1306742549
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOOD SHEPHERD MANAGEMENT CORPORATION
Practice address
201 Shepherd Ave
Brooklyn, NY 11208-1233
Phone
(954) 263-3528
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
IS 43 CONSULTING CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Dr. Gwendolyn N Davis
Title
Principal
Phone
(954) 236-6528

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X
Nursing Facility/Intermediate Care Facility 313M00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

201 Shepherd Ave
Brooklyn, NY 11208-1233

Mailing address

201 Shepherd Ave
Brooklyn, NY 11208-1233
Phone (954) 263-3528

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1306742549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SHEPHERD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081233",
            "telephone_number": "954-263-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHEPHERD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081233",
            "telephone_number": "954-263-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MANAGEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IS 43 CONSULTING CORPORATION",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "954-236-6528",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.