Gathering Tank

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GATHERING TANK

Practice address

42 Lowell Rd
Brookline, MA 02445-6148

Phone

(617) 701-6073

NPI assigned

Nov 8, 2024

Last updated

Nov 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andre Guillemin, LICSWNPI 1669022646

Title

Owner/Psychotherapist

Phone

(607) 701-6073

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Andre Guillemin

  • Counselor
  • Needham, MA
  • NPI 1669022646
  NPD Authorized official

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1225852072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LOWELL RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456148",
            "telephone_number": "617-701-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LOWELL RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456148",
            "telephone_number": "617-701-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERING TANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GUILLEMIN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "607-701-6073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah C Garrity
• Scott Neal Garvin, M.A.
• Graham Garwood, PSY.D.
• Jessica Laurel Gashin
• Ravi Gatha, PH.D.
• Lisa Jayne Geiger, D.C.
• Johanna Geik, MA
• Blair S. Gelbond, L.I.C.S.W.
• Caylie Gelfand
• Max Geller, MD

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.