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THAD WILDERSON & ASSOCIATES PA
NPI 1306973698
Psychologist - Clinical Child & Adolescent in Saint Paul, MN

Active since February 27, 2007
475 UNIVERSITY AVE W, SAINT PAUL, MN 55103(651) 225-8997(651) 225-1967 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Thad Wilderson & Associates Pa NPPES

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

THAD WILDERSON & ASSOCIATES PA (NPI 1306973698) is a healthcare organization registered as a clinical child & adolescent in Saint Paul, Minnesota and active in the NPI registry since February 2007. The organization lists Thad Wilfred Wilderson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306973698
Entity TypeOrganization
Primary Taxonomy103TC2200X
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 · Fax (651) 225-1967
Phone(651) 225-8997
Fax(651) 225-1967
Organization SubpartNo
Authorized OfficialThad Wilfred WildersonExecutive Director · (651) 225-8997
Enumeration DateFebruary 27, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1306973698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedCase ManagementTaxonomy 251B00000X · License LP0061 (MN)
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.

THAD WILDERSON & ASSOCIATES PA
Community/Behavioral Health
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Ramsey County (651) 225-8997
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
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 1306973698. It was assigned to this organization in the NPPES registry on February 27, 2007.

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 Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Thad Wilderson & Associates PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.