THAD WILDERSON & ASSOCIATES PA
NPI 1649362237
Psychologist - Clinical Child & Adolescent in Saint Paul, MN

NPI Status: Active since September 29, 2006

Contact Information

475 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55103
Phone: (651) 225-8997
Fax: (651) 225-1697

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About THAD WILDERSON & ASSOCIATES PA

This page provides the complete NPI Profile along with additional information for Thad Wilderson & Associates Pa, a provider established in Saint Paul, Minnesota operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1649362237 assigned on September 2006. The practitioner's primary taxonomy code is 103TC2200X with license number LP0061 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Thad Wilfred Wilderson Lp (Executive Director)

NPI
1649362237
Provider Name
THAD WILDERSON & ASSOCIATES PA
Entity Type
Organization
Location Address
475 UNIVERSITY AVE W SAINT PAUL, MN 55103
Location Phone
(651) 225-8997
Location Fax
(651) 225-1697
Mailing Address
475 UNIVERSITY AVE W SAINT PAUL, MN 55103
Mailing Phone
(651) 225-8997
Mailing Fax
(651) 225-1697
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
LP0061
License State
MN
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THAD WILFRED WILDERSON LP

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(651) 225-8997

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649362237, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 6 + 6 + 4 + 2 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1649362237.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Chiropractor
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Clinic/Center
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Community/Behavioral Health
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Chiropractor
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Clinic/Center (Adolescent and Children Mental Health)
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Community/Behavioral Health
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Counselor (Addiction (Substance Use Disorder))
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103
Psychologist (Clinical Child & Adolescent)
475 UNIVERSITY AVE W
SAINT PAUL, MN 55103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649362237, enumerated as an "organization" on September 29, 2006.

The provider is located at 475 UNIVERSITY AVE W SAINT PAUL, MN 55103 and the phone number is (651) 225-8997.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.