KELLY OTP LLC
NPI 1265150767
Clinic/Center - Methadone in Roseville, MI

NPI Status: Active since August 19, 2022

Contact Information

25200 KELLY RD
ROSEVILLE, MI
ZIP 48066
Phone: (586) 422-1250

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  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance

About KELLY OTP LLC

This page provides the complete NPI Profile along with additional information for Kelly Otp Llc, a provider established in Roseville, Michigan operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1265150767 assigned on August 2022. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Kelly Otp Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Aaron Douglas Alston (Pratice Administrator)

NPI
1265150767
Provider Name
KELLY OTP LLC
Entity Type
Organization
Location Address
25200 KELLY RD ROSEVILLE, MI 48066
Location Phone
(586) 422-1250
Mailing Address
7 RIVERBANK DR BEVERLY HILLS, MI 48025
Mailing Phone
(248) 971-0150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2022
Last Update Date
08-16-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
5207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 
6261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
7261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AARON DOUGLAS ALSTON

Authorized Official Title
PRATICE ADMINISTRATOR
Authorized Official Phone
(248) 971-0150

Reviews for KELLY OTP LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1265150767, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 2 + 5 + 0 + 7 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265150767.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
25200 KELLY RD
ROSEVILLE, MI 48066
Registered Nurse
25200 KELLY RD
ROSEVILLE, MI 48066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265150767, enumerated as an "organization" on August 19, 2022.

The provider is located at 25200 KELLY RD ROSEVILLE, MI 48066 and the phone number is (586) 422-1250.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.