Gray Sycamore Mercury, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3959 Issued in ME

Practice address

170 US Route 1 Ste 100
Falmouth, ME 04105-2154

Phone

(207) 781-0022

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Storeysmith Pediatric Clinic

  • Speech-Language Pathologist
  • Falmouth, ME
  • NPI 1760600803
  NPD (past)
• Storeysmith Pediatric Clinic

  • Speech-Language Pathologist
  • Cumberland, ME
  • NPI 1871765123
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1699372953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MARGINAL WAY APT 453",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041017423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 US ROUTE 1 STE 100",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052154",
            "telephone_number": "207-781-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Osburn Rd",
            "address_purpose": "LOCATION",
            "city": "Chickamauga",
            "state": "GA",
            "postal_code": "307072847",
            "country_code": "US",
            "telephone_number": "706-375-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCURY",
        "first_name": "GRAY",
        "middle_name": "SYCAMORE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010840",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3959",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medco Respiratory Instruments, Inc
• Megan Elizabeth Meinking, OTR/L
• Jay Melanson
• Jiana Menendez, MD
• Carly Mercer, LCSW
• Merrill Care
• Elizabeth Gene Merrill, PSY.D.
• Emily Meyer, LMT
• Jesica L. Michaud
• Whittney Varney Miller, OD

• Speech-Language Pathologist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.