DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC
NPI 1851444376
Clinic/Center - Methadone in Stockton, CA

Active since January 19, 2007
1839 S. EL DORADO STREET, STOCKTON, CA 95206(209) 463-0870(209) 463-0560 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Nov 1, 2016, Oct 11, 2016 and 1 more (4 updates tracked since 2016).

About Dba: Healthy Connections, Dba:5th Street Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC (NPI 1851444376) is a healthcare organization registered as a methadone in Stockton, California and active in the NPI registry since January 2007. The organization lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1851444376
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1839 S. EL DORADO STREETStockton, CA 95206-2025
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Fax(209) 463-0560
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateJanuary 19, 2007
Last NPPES UpdateFebruary 16, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
NPI 1851444376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 39-12 (CA)
1839 S. EL DORADO STREET, Stockton, CA 95206

Other Names 1

Doing Business AsDba: Healthy Connections, Dba:5th Street Medical Clinic

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
1,140 services35 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
100 services18 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aegis Treatment Centers, LLC's NPI number?

The NPI number for Aegis Treatment Centers, LLC is 1851444376. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Dba: Healthy Connections, Dba:5th Street Medical Clinic.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1839 S. El Dorado Street, Stockton, CA 95206. The listed phone number is (209) 463-0870.

What is Aegis Treatment Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Aegis Treatment Centers, LLC was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.