JONATHAN CARL FELLERS MD
NPI 1508091281
Psychiatry & Neurology - Addiction Psychiatry in Portland, ME
NPI Status: Active since May 25, 2009
Contact Information
1 CITY CTR STE 8130
PORTLAND, ME
ZIP 04101
Phone: (207) 221-0635
Fax: (207) 221-0634
- Individual
- Male
- Psychiatry & Neurology
- Addiction Psychiatry
- Accepts Insurance
- PECOS Enrolled
- CLIA Number: 20D2166096
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-12-2027
About JONATHAN FELLERS
This page provides the complete NPI Profile along with additional information for Jonathan Fellers, a provider established in Portland, Maine with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1508091281 assigned on May 2009. The practitioner's primary taxonomy code is 2084P0802X with license number MD20613 (ME). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1508091281
- Provider Name
- JONATHAN CARL FELLERS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 CITY CTR STE 8130 PORTLAND, ME 04101
- Location Phone
- (207) 221-0635
- Location Fax
- (207) 221-0634
- Mailing Address
- 1 CITY CTR STE 8130 PORTLAND, ME 04101
- Mailing Phone
- (207) 221-0635
- Mailing Fax
- (207) 221-0634
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-25-2009
- Last Update Date
- 08-22-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD20613
- License State
- ME
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 202C00000X | Allopathic & Osteopathic Physicians | Independent Medical Examiner | MD20613 (ME) |
| 2 | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | MD20613 (ME) |
| 3 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | MD20613 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
- NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jonathan Fellers is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2166096
- Facility Type
- Physician Office
- Certificate Effective Date
- May 13, 2025
- Certificate Expiration Date
- May 12, 2027
- Laboratory Director
- JONATHAN C. FELLERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jonathan Fellers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508091281, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508091281, enumerated as an "individual" on May 25, 2009.
The provider is located at 1 CITY CTR STE 8130 PORTLAND, ME 04101 and the phone number is (207) 221-0635.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.
The provider might be accepting Accepts: Harvard Pilgrim Health Care. Please consult your insurance carrier or call the provider to verify.
