Toru Takada

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000451 Issued in NY

Practice address

18 W 18TH St
New York, NY 10011-4607

Phone

(917) 519-7654

NPI assigned

Oct 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sus Mental Health Programs, Inc.Group PAC ID 7810162468, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sus Mental Health Programs, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1053696195

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489276800000",
    "number": "1073983938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 FORT HAMILTON PKWY APT 2I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095315",
            "telephone_number": "917-519-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114607",
            "telephone_number": "917-519-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKADA",
        "first_name": "TORU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-04",
        "last_updated": "2017-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000451",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Taitz, PSY.D.
• Dolly Adedolapo Omohafe Taiwo, MD
• Foyinsayemi Taiwo
• Oluwadamilola Jasmine Taiwo, RN
• Ariana Bahareh Taj, MD
• Alyssa Takamatsu
• Sandra Takami, PHARM.D.
• Akihiro Takamiya, MD, PHD
• Takashi Matsuki MD LLC
• Gregg T Takata, D.M.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.