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THAD WILDERSON & ASSOCIATES PA
NPI 1073928701
Community/Behavioral Health in Saint Paul, MN

Active since June 20, 2014
475 UNIVERSITY AVE W, SAINT PAUL, MN 55103(651) 225-8997 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thad Wilderson & Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAD WILDERSON & ASSOCIATES PA (NPI 1073928701) is a healthcare organization registered as a community/behavioral health in Saint Paul, Minnesota and active in the NPI registry since June 2014. The organization lists Rhonda Eaves, Office & Finance Manager, as its authorized official.

NPPES Registry Identity

NPI1073928701
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTHAD WILDERSON & ASSOCIATES PA
Location Address475 UNIVERSITY AVE WSaint Paul, MN 55103-1959
Mailing Address475 University Ave WSaint Paul, MN 55103-1959 · (651) 225-8997
Phone(651) 225-8997
Organization SubpartNo
Authorized OfficialRhonda EavesOffice & Finance Manager · (651) 225-8997
Enumeration DateJune 20, 2014
✔ NPI 1073928701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · LP0061
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
475 UNIVERSITY AVE W, Saint Paul, MN 55103
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUST KIDS AUTISM CENTER
Clinic/Center (Adolescent and Children Mental Health)
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (507) 291-7426
PARTNERS IN RECOVERY, LLC
Community/Behavioral Health
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (888) 648-7652
THAD WILDERSON & ASSOCIATES PA
Psychologist (Clinical Child & Adolescent)
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 225-8997
DR. GREGORY J. HYNAN D.C.
Chiropractor
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 222-7331
THAD WILDERSON & ASSOCIATES PA
Psychologist (Clinical Child & Adolescent)
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 225-8997
REBECCA BJORKLUND
Counselor (Addiction (Substance Use Disorder))
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 422-9317
DR. JOHN J HYNAN D.C.
Chiropractor
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 222-7331
HYNAN CHIROPRACTIC CLINIC
Clinic/Center
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 222-7331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thad Wilderson & Associates PA's NPI number?

The NPI number for Thad Wilderson & Associates PA is 1073928701. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Thad Wilderson & Associates PA located?

Thad Wilderson & Associates PA is located at 475 University Ave W, Saint Paul, MN 55103. The listed phone number is (651) 225-8997.

What is Thad Wilderson & Associates PA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Thad Wilderson & Associates PA was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.