Provider Demographics
NPI:1134090038
Name:PIETROSIMONE, JAIME ALLISON (MFT-A)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ALLISON
Last Name:PIETROSIMONE
Suffix:
Gender:F
Credentials:MFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 DURANT ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4306
Mailing Address - Country:US
Mailing Address - Phone:475-655-4524
Mailing Address - Fax:
Practice Address - Street 1:26 DURANT ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4306
Practice Address - Country:US
Practice Address - Phone:475-655-4524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist