Organization Active NPI

Agape Psych Services, PLLC

  • Psychoanalysis Psychologist
  • Dayton, OH
National Provider Identifier
1982032330
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
Legal business name
AGAPE PSYCH SERVICES, PLLC
Practice address
120 W 2ND St Ste 400
Dayton, OH 45402-1602
Phone
(937) 329-1298
Fax
(817) 394-5075
NPI assigned
Oct 23, 2013
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Dr. James Wesley Manuel, PSYDNPI 1982849352
Title
Owner
Phone
(937) 329-1298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X NU Primary

Addresses

Primary practice location

120 W 2ND St Ste 400
Dayton, OH 45402-1602

Mailing address

4800 Spring Lake Pkwy
Mansfield, TX 76063-5593
Phone (937) 329-1298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250430000650 TX Part B Supplier - Clinic/Group Practice 4284947896 Practice locations: Mansfield, TX
O20251209000233 OH Part B Supplier - Clinic/Group Practice 4284947896 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

120 W 2nd St
Ste 400
Dayton, OH 45402
Phone (469) 300-5087

1006 N Bowen Rd
Ste 200EH
Arlington, TX 76012
Phone (740) 802-4399

1006 N Bowen Rd
Ste Eh
Arlington, TX 76012

752 N Main St
Unit 1164
Mansfield, TX 76063

Practitioners & affiliated clinicians

Practitioners 2

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": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1982032330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SPRING LAKE PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635593",
            "telephone_number": "937-329-1298",
            "fax_number": "817-394-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021602",
            "telephone_number": "937-329-1298",
            "fax_number": "817-394-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PSYCH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-329-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.