Jamie Pandolfi

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2123 Issued in CT

Practice address

235 Lawrence St Apt 1
New Haven, CT 06511-2491

Phone

(203) 906-3510

NPI assigned

Aug 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jamie Marti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1366179145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LAWRENCE ST APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112491",
            "telephone_number": "203-906-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 LAWRENCE ST APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112491",
            "telephone_number": "203-906-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOLFI",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MARTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Pan, M.D.
• Jeffrey Tai Pan, MD
• Yifang Pan
• Sherin T. Panacherry, MD
• Vikram Hemant Pandit
• Daniel Pang
• Philip Pang, M.D.
• Jordyn Panicali, LCSW
• Sheethal Sasidhara Panicker, M.B.B.S.
• Lynn Marie Panico, OTR/L, CHT

• Behavior Analyst in New Haven, CT
• Providers in New Haven, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.