THE GATHERING SPACE, LLC
NPI 1841665155
Psychologist - Clinical in Durham, NC

Active since December 11, 2015
2216 S MIAMI BLVD STE 103, DURHAM, NC 27703(919) 695-3478 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About THE GATHERING SPACE, LLC

This page provides the complete NPI Profile along with additional information for The Gathering Space, Llc, a provider established in Durham, North Carolina operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1841665155 assigned on December 2015. The practitioner's primary taxonomy code is 103TC0700X with license number 3936 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The Gathering Space, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy Lynnae Johnson (Ceo)

NPI
1841665155 Verify this NPI
Provider Name
THE GATHERING SPACE, LLC
Entity Type
Organization
Location Address
2216 S MIAMI BLVD STE 103 DURHAM, NC 27703
Location Phone
(919) 695-3478
Mailing Address
112 ELMSFORD ST DURHAM, NC 27703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2015
Last Update Date
12-11-2015
Code Navigator

A clinical psychologist like The Gathering Space, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
3936
License State
NC
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY LYNNAE JOHNSON

Authorized Official Title
CEO
Authorized Official Phone
(919) 695-3478

Reviews for THE GATHERING SPACE, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2216 S MIAMI BLVD STE 103
DURHAM, NC 27703
Counselor (Mental Health)
2216 S MIAMI BLVD STE 103
DURHAM, NC 27703
Counselor (Mental Health)
2216 S MIAMI BLVD STE 103
DURHAM, NC 27703
Social Worker (Clinical)
2216 S MIAMI BLVD STE 103
DURHAM, NC 27703
Counselor (Mental Health)
2216 S MIAMI BLVD STE 103
DURHAM, NC 27703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841665155, enumerated as an "organization" on December 11, 2015.

The provider is located at 2216 S MIAMI BLVD STE 103 DURHAM, NC 27703 and the phone number is (919) 695-3478.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.