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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
101YM0800X
Mental Health Counselor
202C00000X
Independent Medical Examiner Physician
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/26/2018
Last updated
08/22/2025
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