Individual provider · Type 1 NPI
Ernesto Santistevan, PhD
Prescribing (Medical) Psychologist · Santa Fe, NM
Practice location
4001 Office Court Dr Ste 1008
Santa Fe, NM 87507-4929
Fax (505) 982-1096
Mailing address
3201 Zafarano Dr Ste C
Santa Fe, NM 87507-2672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 688 (NM) |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 688 (NM) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1114137684
Ernesto Santistevan, PhD's National Provider Identifier is 1114137684, issued on May 23, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Santa Fe, NM. The record was last updated on Sep 23, 2026.