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

NPI Status: Active since January 19, 2007

Contact Information

1839 S. EL DORADO STREET
STOCKTON, CA
ZIP 95206
Phone: (209) 463-0870
Fax: (209) 463-0560

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  • Organization
  • Clinic/Center
  • Methadone

About DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Dba: Healthy Connections, Dba:5th Street Medical Clinic, a provider established in Stockton, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1851444376 assigned on January 2007. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Dba: Healthy Connections, Dba:5th Street Medical Clinic. The authorized official of this NPI record is Denise Winant (Credentialing Supervisor)

NPI
1851444376
Provider Legal Name
AEGIS TREATMENT CENTERS, LLC
Other Organization Name
DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1839 S. EL DORADO STREET STOCKTON, CA 95206
Location Phone
(209) 463-0870
Location Fax
(209) 463-0560
Mailing Address
1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
Mailing Phone
(856) 439-6111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2007
Last Update Date
02-16-2024
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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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

39-12 (CA)

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

DENISE WINANT

Authorized Official Title
CREDENTIALING SUPERVISOR
Authorized Official Phone
(732) 570-0268

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 2,016 times for 54 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

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.

This service was performed 178 times for 24 patients

Reviews for DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC

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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 1851444376, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 5 → 10 → 1 4 → 8 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 8 + 4 + 8 + 3 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1851444376.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851444376, enumerated as an "organization" on January 19, 2007.

The provider is located at 1839 S. EL DORADO STREET STOCKTON, CA 95206 and the phone number is (209) 463-0870.

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