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

Thad Wilderson & Associates PA

Organization Community/Behavioral Health Agency · NPI 1073928701

Thad Wilderson & Associates PA is a Community/Behavioral Health Agency in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 University Ave W
Saint Paul, MN 55103-1959
Phone: (651) 225-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LP0061 (MN)

Record details

NPI number1073928701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Eaves — Office & Finance Manager · (651) 225-8997
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing address475 University Ave W, Saint Paul, MN 55103-1959

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