Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ernesto Santistevan, PHD

Individual provider Clinical Psychologist · NPI 1114137684

Dr. Ernesto Santistevan, PHD is a Clinical Psychologist in Santa Fe, New Mexico. Qualified in 1996, 30 years ago. Practices with Santa Fe Mountain Center Inc, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
30
Licensed in
NM
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4001 Ofc Court DR Ste 1008
Santa Fe, NM 87507-4929
Phone: (505) 577-2607
Fax: (505) 982-1096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 688 (NM)
Clinical Psychologist Taxonomy 103TC0700X · Licence 688 (NM)

Record details

NPI number1114137684
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Santa Fe Mountain Center Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Santa Fe