DR. JADE BENDER RAFFERTY (NPI# 1386997179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386997179 |
| Entity Type | Individual |
| Full Name | DR. JADE BENDER RAFFERTY |
| Other Name | DR. JADE ANDROMEDA BENDER |
| Credential | PH.D., LP |
| Practice Address |
2720 W 43rd St Suite 205 Minneapolis MN 55410-1643 |
| Practice Telephone | 6127679860 |
| Practice Fax Number | 6127679861 |
| Mailing Telephone | 6127679860 |
| Mailing Fax Number | 6127679861 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
2720 W 43RD ST SUITE 205 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55410-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497837041 | William Thomas O'dowd | Clinical Neuropsychologist | 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 | 2006-10-20 |
| 1447651062 | Ballard Psychological Services LLC | Psychologist | 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 | 2014-09-15 |
| 1437484987 | Elizabeth Orchard | Naturopath | 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 | 2009-10-15 |
| 1790998235 | Mary Ann Miller | Social Worker | 2720 W 43rd St, #204, Minneapolis, MN 55410-1643 | 2007-05-08 |
| 1447471768 | Elise M Sanders | Social Worker | 2720 W 43rd St, Minneapolis, MN 55410-1643 | 2007-05-02 |
| 1447378112 | David Burton Lund | Psychologist | 2720 W 43rd St, Suite 205, Minneapolis, MN 55410-1643 | 2007-03-27 |
| 1003941618 | Beth Ann Burgan | Massage Therapist | 2720 W 43rd St, #206, Minneapolis, MN 55410-1643 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
| 1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
| 1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
| 1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
| 1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
| 1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
| 1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1578824330 | Stephens Psychological Services | Psychologist | 3829 Washburn Ave S, Minneapolis, MN 55410-1129 | 2012-06-07 |
| Find all providers in zip 55410 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1063518306 | Gay Rosenthal | Psychologist | 15 Groveland Terrace, Suite 305, Minneapolis, MN 55403 | 2006-09-15 |
| 1568457927 | Sharon L Berry | Psychologist | 2525 Chicago Ave South, Childrens Speciality Clinic-psychological Services Mpls, Minneapolis, MN 55404 | 2005-09-13 |
| 1932714524 | Manju Elizabeth Alexander | Psychologist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-09-10 |
| 1346874583 | Ian Halberg | Psychologist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-02-26 |
| 1902441546 | Oasis Child and Family Services | Psychologist | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-11-07 |
| 1720509862 | Kate Joza Zelic | Psychologist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2017-06-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55410 |
Please comment or provide details below to improve the information on DR. JADE BENDER RAFFERTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.