| Positive Outcomes, Inc. | |
|
1115 North California Street Socorro NM 87801-0642 | |
| (505) 838-0800 | |
| (505) 838-3999 |
| Full Name | Positive Outcomes, Inc. |
|---|---|
| Speciality | Technician |
| Location | 1115 North California Street, Socorro, New Mexico |
| Authorized Official Name and Position | Tara Jaramillo (CEO AND SLP) |
| Authorized Official Contact | 5058380800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Outcomes, Inc. Po Box 642 1115 North California Street Socorro NM 87801-0642 Ph: (505) 838-0800 | Positive Outcomes, Inc. 1115 North California Street Socorro NM 87801-0642 Ph: (505) 838-0800 |
| NPI Number | 1770624348 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 1052208212 |
|---|---|
| Medicare Enrollment ID | O20040302000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770624348 | NPI | - | NPPES |
| 88722520 | Medicaid | NM | |
| 800521047 | Medicaid | NM | |
| 00P3051 | Medicaid | NM | |
| 69676577 | Medicaid | NM | |
| D4005 | Medicaid | NM |
| Provider Name | Valerie A Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013214857 PECOS PAC ID: 2264615475 Enrollment ID: I20110325000440 |
| Provider Name | Rachel Y Maestas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437589595 PECOS PAC ID: 1951539196 Enrollment ID: I20140114001221 |
| Provider Name | Melinda A Montoya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760882880 PECOS PAC ID: 5698094571 Enrollment ID: I20150427000703 |
| Provider Name | Tara K Jaramillo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063553360 PECOS PAC ID: 5294622478 Enrollment ID: I20150811003832 |
| Provider Name | Coyle Domina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205070224 PECOS PAC ID: 6406124114 Enrollment ID: I20170622000144 |
| Provider Name | Melody K Rattanapote-malaney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659775641 PECOS PAC ID: 0648523027 Enrollment ID: I20181101001104 |
| Provider Name | Melissa Edmondson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376987461 PECOS PAC ID: 7113332966 Enrollment ID: I20210209001618 |
Socorro County Community Alternatives Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Center St, Socorro, NM 87801 Phone: 505-792-6726 Fax: 575-838-0244 | |
Learning Path Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 308 N California St, Socorro, NM 87801 Phone: 575-838-0061 | |
Pms-socorro Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60 West, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0150 | |
Cornerstone Christian Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1894 Chaparal Loop, Socorro, NM 87801 Phone: 575-802-3781 |