Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jade Bender Rafferty, PHD, LP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1386997179

Dr. Jade Bender Rafferty, PHD, LP is a Clinical Child & Adolescent Psychologist in St Louis Park, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4601 Excelsior Blvd Ste 400
St Louis Park, MN 55416-4977
Phone: (612) 767-9860
Fax: (612) 767-9861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1386997179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedOctober 18, 2012
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

Other providers in St Louis Park