Active NPI
Jeffrey M Fliesser, MD
- Forensic Psychiatry Physician
- Augusta, ME
National Provider Identifier
1801873823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- TD05101
- Practice address
- 250 Arsenal St
11 SHS
Augusta, ME 04333-0011 - Phone
- (207) 624-4657
- Fax
- (207) 287-6123
- NPI assigned
- Dec 30, 2005
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | TD05101 | ME | Primary |
Addresses
Primary practice location
250 Arsenal St
11 SHS
Augusta, ME 04333-0011
Mailing address
24 Cathedral PL
St Augustine, FL 32084-4465
Phone (904) 819-0936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD05101 | ME | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Maine | Past | Accepting new patients | |
| David M Feazell PHD P a | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- St Augustine, FL
- NPI 1427276997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801873823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CATHEDRAL PL",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320844465",
"telephone_number": "904-819-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ARSENAL ST",
"address_2": "11 SHS",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043330011",
"telephone_number": "207-624-4657",
"fax_number": "207-287-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLIESSER",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "ME",
"license": "TD05101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.