Organization Active NPI

Gilbert R Ladd IV MD PC

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1982807442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
GL073196 Issued in MI
Legal business name
GILBERT R LADD IV MD PC
Practice address
3250 W Big Beaver Rd # 590
Troy, MI 48084-2900
Phone
(248) 290-2220
Fax
(248) 290-4019
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gilbert R Ladd IV, MDNPI 1407941321
Title
MD
Phone
(248) 290-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X GL073196 MI Primary

Addresses

Primary practice location

3250 W Big Beaver Rd # 590
Troy, MI 48084-2900

Mailing address

3250 W Big Beaver Rd # 590
Troy, MI 48084-2900
Phone (248) 290-2220

National Provider Directory

National Provider Directory
Tax ID family
Gilbert R Ladd IV MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3250 W Big Beaver Rd
#590
Troy, MI 48084
Phone (248) 290-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982807442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD # 590",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842900",
            "telephone_number": "248-290-2220",
            "fax_number": "248-290-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD # 590",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842900",
            "telephone_number": "248-290-2220",
            "fax_number": "248-290-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERT R LADD IV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-290-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "GL073196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.