| Toru Takada, | |
|
18 W 18th St, New York, NY 10011-4607 | |
| (917) 519-7654 | |
| Not Available |
| Full Name | Toru Takada |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 18 W 18th St, New York, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073983938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000451 (New York) | Primary |
| 104100000X | Social Worker | 094367 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sus Mental Health Programs, Inc. | 7810162468 | 4 |
| Entity Name | Sus Mental Health Programs, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053696195 PECOS PAC ID: 7810162468 Enrollment ID: O20111208000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Toru Takada, 8646 Fort Hamilton Pkwy Apt 2i, Brooklyn, NY 11209-5315 Ph: (917) 519-7654 | Toru Takada, 18 W 18th St, New York, NY 10011-4607 Ph: (917) 519-7654 |
Dr. Dan Raviv, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 W 25th St, #3, New York, NY 10001 Phone: 516-695-3925 | |
Miss Jessica Ann Williams, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 83 Maiden Ln, 6th Floor, New York, NY 10038 Phone: 212-780-2575 | |
Linda Cummings, L.C.S.W.R; C.A.S.A.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Union Sq E Ste 805, New York, NY 10003 Phone: 212-388-1274 | |
Mr. Robert Joseph Miela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 57 Saint Marks Pl, New York, NY 10003 Phone: 212-982-3470 Fax: 212-477-0521 | |
Ms. Letitia Louise Maun, M.A.., M.ED, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 161 W 54th St, New York, NY 10019 Phone: 917-566-4068 | |
Daniel Joseph Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 5th Ave Ste 2586, New York, NY 10001 Phone: 347-527-4320 | |
Amber Bankson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 E 28th St, Suite 408, New York, NY 10016 Phone: 347-291-6721 |