Active NPI
Jonathan Carl Fellers, MD
- Addiction Psychiatry Physician
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- MD20613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Mainehealth | Psychiatry | Current | Accepting new patients |
| Jonathan C Fellers MD PA LLC | Independent Medical Examiner | Current | Accepting new patients |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Bishop Medical Group LLC | Addiction Medicine | Current | Accepting new patients |
| Psychmaine LLC | Addiction Medicine | Past | 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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Portland, ME
- NPI 1487256186
-
- Pediatrics Physician
- Saco, ME
- NPI 1134144090
-
- Family Medicine Physician
- Windham, ME
- NPI 1144245028
-
- Family Medicine Physician
- Scarborough, ME
- NPI 1467477349
-
- Internal Medicine Physician
- Cape Elizabeth, ME
- NPI 1598780447
-
- Multi-Specialty Clinic/Center
- Portland, ME
- NPI 1457823817
Independent Medical Examiner
-
- Pediatric Surgery Physician
- Portland, ME
- NPI 1134305386
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.