IndividualActive
Ernesto Santistevan, PH.D.
NPI 1114137684 · Prescribing (Medical) Psychologist · Santa Fe, NM
Provider details
- NPI number
- 1114137684
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 688 (NM)
Practice location
4001 Office Court Dr Ste 1008
Santa Fe, NM 87507-4929
Phone: (505) 577-2607
Fax: (505) 982-1096
Mailing address
3201 Zafarano Dr Ste C
Santa Fe, NM 87507-2672
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.