Individual provider Active NPI

Jonathan Carl Fellers, MD

  • Addiction Psychiatry Physician
  • Portland, ME
National Provider Identifier
1508091281
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MD20613 Issued in ME
Practice address
1 City Ctr Ste 8130
Portland, ME 04101-6420
Phone
(207) 221-0635
Fax
(207) 221-0634
NPI assigned
May 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X MD20613 ME
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD20613 ME
Psychiatry Physician 2084P0800X MD20613 ME
Addiction Psychiatry Physician 2084P0802X MD20613 ME Primary

Addresses

Primary practice location

1 City Ctr Ste 8130
Portland, ME 04101-6420

Mailing address

1 City Ctr Ste 8130
Portland, ME 04101-6420
Phone (207) 221-0635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831000427 ME Practitioner - NeuropsychiatryPractitioner - Psychiatry 6608021332 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Nov 19, 2016 Accepting new patients
Maine Medical Partners CurrentSince Feb 11, 2017 Accepting new patients
Mainehealth Psychiatry CurrentSince Nov 19, 2016 Accepting new patients
Jonathan C Fellers MD PA LLC Independent Medical Examiner CurrentSince Oct 1, 2020 Accepting new patients
Maine Medical Partners CurrentSince Nov 19, 2016 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Feb 11, 2017 Accepting new patients
Maine Medical Partners CurrentSince Feb 11, 2017 Accepting new patients
Bishop Medical Group LLC Addiction Medicine CurrentSince Jun 4, 2021 Accepting new patients
Psychmaine LLC Addiction Medicine PastSince Jan 15, 2023 Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

1250 Forest Ave
Ste 201
Portland, ME 04103
Phone (207) 910-6580

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

550 Forest Ave
Ste 103
Portland, ME 04101
Phone (207) 221-0635

1 City Ctr
Ste 8130
Portland, ME 04101
Phone (207) 221-0635

5 Bucknam Rd
Ste 2B
Portland, ME 04105
Phone (207) 781-1600

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

16 Atlantic Pl
South Portland, ME 04106
Phone (908) 240-3106

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1508091281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CITY CTR STE 8130",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016420",
            "telephone_number": "207-221-0635",
            "fax_number": "207-221-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CITY CTR STE 8130",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041016420",
            "telephone_number": "207-221-0635",
            "fax_number": "207-221-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLERS",
        "first_name": "JONATHAN",
        "middle_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "ME",
            "license": "MD20613",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "MD20613",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD20613",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "ME",
            "license": "MD20613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.