NPIMap

Organization Active NPI

Community Service Organization Behavioral Health Program

Doing business as Brotherhood Center

  • Community/Behavioral Health Agency
  • Bakersfield, CA
National Provider Identifier
1851427322
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAM
Doing business as
Brotherhood Center
Practice address
1124 Baker Street
Bakersfield, CA 93305
Phone
(661) 327-9376
Fax
(661) 327-7649
NPI assigned
Feb 26, 2007
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. Dwayne Anthony Gotay Sr., E.D.NPI 1912235029
Title
Executive Director
Phone
(661) 327-0376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1124 Baker Street
Bakersfield, CA 93305

Mailing address

PO Box 3067
Bakersfield, CA 93389
Phone (661) 327-9376

Other names 1

  • Brotherhood Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2277434Community Service Organization1124 Baker St, Bakersfield, CA 93305Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brotherhood Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1851427322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93389",
            "telephone_number": "661-327-9376",
            "fax_number": "661-327-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BAKER STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93305",
            "telephone_number": "661-327-9376",
            "fax_number": "661-327-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "GOTAY",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-327-0376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "E.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brotherhood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.