Organization Active NPI

Agape Psychological Services, P.C.

  • Clinic/Center
  • Roslyn Heights, NY
National Provider Identifier
1053552430
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AGAPE PSYCHOLOGICAL SERVICES, P.C.
Practice address
142 Mineola Ave
Suite 2H
Roslyn Heights, NY 11577-2056
Phone
(516) 621-5030
Fax
(516) 621-5393
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
James Chin, PHD
Title
Director
Phone
(516) 621-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY Primary

Addresses

Primary practice location

142 Mineola Ave
Suite 2H
Roslyn Heights, NY 11577-2056

Mailing address

142 Mineola Ave
Suite 2H
Roslyn Heights, NY 11577-2056
Phone (516) 621-5030

National Provider Directory

National Provider Directory

Locations

123 W 57th St
#504
New York, NY 10019
Phone (516) 621-5030

142 Mineola Ave
Ste 2H
Roslyn Heights, NY 11577
Phone (516) 236-5370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1053552430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MINEOLA AVE",
            "address_2": "SUITE 2H",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772056",
            "telephone_number": "516-621-5030",
            "fax_number": "516-621-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MINEOLA AVE",
            "address_2": "SUITE 2H",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772056",
            "telephone_number": "516-621-5030",
            "fax_number": "516-621-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-621-5030",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.