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Contact Information

ERNESTO SANTISTEVAN, PhD
4001 OFFICE COURT DR STE 1008
SANTA FE, NM87507-4929
 Phone: 505-577-2607
 Fax: 505-982-1096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ERNESTO SANTISTEVAN · (Male)

NPI Number 1114137684
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/23/2007
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • NM License # 688
  • NM Medicaid Z0874
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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