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Organization
JONATHAN C FELLERS MD PA LLC
Active
Organization
JONATHAN C FELLERS MD PA LLC
Active
Other names
Cortex Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CARL FELLERS MD (OWNER)
(207) 221-0635
Entity
Organization
Contact information
Practice address
1 CITY CTR STE 8130, PORTLAND, ME 04101-6420
(207) 221-0635
(207) 221-0634
Mailing address
1 CITY CTR STE 8130, PORTLAND, ME 04101-6420
(207) 221-0635
(207) 221-0634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
202C00000X
Independent Medical Examiner Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/26/2018
Last updated
08/22/2025
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