Healthcare Provider Details

I. General information

NPI: 1225087091
Provider Name (Legal Business Name): CHARLOTTE O. LADD M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 RESEARCH PARK BLVD
MADISON WI
53719-1176
US

IV. Provider business mailing address

2229 FOX AVE
MADISON WI
53711-1922
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number48134
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: