Hope Psychology Practice, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP5587 Issued in MN

Legal business name

HOPE PSYCHOLOGY PRACTICE, LLC

Practice address

2720 W. 43Rd St.
Suite 205
Minneapolis, MN 55410

Phone

(612) 767-9860

Fax

(612) 767-9861

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jade Bendev Rafferty, PH.D, LP

Title

Psychologist/Owner

Phone

(612) 767-9860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1942687397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 W. 43RD ST.",
            "address_2": "SUITE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55410",
            "telephone_number": "612-767-9860",
            "fax_number": "612-767-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 W. 43RD ST.",
            "address_2": "SUITE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55410",
            "telephone_number": "612-767-9860",
            "fax_number": "612-767-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PSYCHOLOGY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "BENDEV",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "612-767-9860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hope Theory Professional Corporation
• Hope Therapeutic Services LLC
• Hope to Heal LLC
• Hope Wellness Center Inc.

• Clinical Child & Adolescent Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.