| Toru Takada, | |
| 
					18 W 18th St, New York, NY 10011-4607  | |
| (917) 519-7654 | |
| Not Available | 
| Full Name | Toru Takada | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 18 W 18th St, New York, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| 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 | 
| 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  |