Sydney Lauren Trask Humphrey, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2789 Issued in ME

Practice address

7 Gilman Street
Mars Hill, ME 04758-0475

Phone

(207) 227-6399

NPI assigned

May 20, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

• Sydney Lauren Trask Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2021.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1962077289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580332",
            "telephone_number": "207-227-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GILMAN STREET",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580475",
            "telephone_number": "207-227-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "SYDNEY",
        "middle_name": "LAUREN TRASK",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "TRASK",
            "middle_name": "LAUREN",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Jennifer Garrison
• Alexandria Gauthier, MS CF-SLP
• Adaobi Gbugu, PA-C
• Morgan E Gove, SPA
• Mia Grace Henderson, SLPA
• Ceara Hutchinson, MA, CF-SLP
• Mackenzie Jenkins, SLPA
• Maine School Administrative District No. 42
• Mars Hill Pharmacy Inc
• Mars Hill Pharmacy Inc.

• All providers in Mars Hill, ME
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.