Active NPI
Good Shepherd Management Corporation
- Substance Abuse Rehabilitation Facility
- Brooklyn, NY
National Provider Identifier
1306742549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- IS 43 CONSULTING CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.