Paul Good Shepherd LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PAUL GOOD SHEPHERD LLC

Practice address

2342 Dean St
Brooklyn, NY 11233-4302

Phone

(718) 345-5747

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Usungu Dimandja, MSW

Title

Ceo

Phone

(718) 345-5747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1558778480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 DEAN ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334302",
            "telephone_number": "718-345-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334302",
            "telephone_number": "718-345-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL GOOD SHEPHERD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "DIMANDJA",
        "authorized_official_first_name": "USUNGU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-345-5747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.