Dr. Melissa Johnnidis, DO
Psychiatry & Neurology, Psychiatry in Portland, ME. Individual provider (NPI-1).
NPI number1336728906
StatusActive
Last updated in NPPESOct 26, 2025
Details
- NPI
- 1336728906
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Johnnidis
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2021
- Certification date
- Oct 26, 2025
- Last updated
- Oct 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | DO4093 | ME | Yes |
Practice location
66 Bramhall StPortland, ME 04102-3344
Phone 207-662-1310 · Fax 475-275-7458
Mailing address
66 Bramhall StPortland, ME 04102-3344
Phone 207-662-1310 · Fax 207-662-6348
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