Ernesto Santistevan, PH.D.
Individual provider Active NPI Prescribing (Medical) Psychologist · Santa Fe, NM
NPI 1114137684 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1114137684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prescribing (Medical) Psychologist 103TP0016X
- License
- 688 (NM)
- Practice address
- 4001 Office Court Dr Ste 1008
Santa Fe, NM 87507-4929 - Phone
- (505) 577-2607
- Fax
- (505) 982-1096
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Santa Fe Mountain Center Inc
The Life Link
Practice addresses (Care Compare)
1524 B Bishops Lodge Rd
Santa Fe, NM 87506-0209
Phone (505) 983-6518
2325 Cerrillos Rd
Santa Fe, NM 87505-3377
Phone (505) 438-0010
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071109000048 | NM | Practitioner - Clinical Psychologist | 4981792942 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688 | NM | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Psychological Services LLC | Clinical | Current |
Accepting new patients |
| The Life Link | Current |
Accepting new patients | |
| Santa Fe Mountain Center Inc | Current |
Accepting new patients |
Locations
2202 Menaul Blvd NE
Albuquerque, NM 87107
Phone (505) 577-2607
1000 Cordova Pl
Santa Fe, NM 87505
Phone (505) 660-0387
4001 Office Court Dr
Ste 1008
Santa Fe, NM 87507
Phone (505) 577-2607
551 W Cordova Rd
Ste 548
Santa Fe, NM 87505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 688 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | 688 | NM | Yes |
Addresses
Primary practice location
4001 Office Court Dr Ste 1008
Santa Fe, NM 87507-4929
Mailing address
3201 Zafarano Dr Ste C
Santa Fe, NM 87507-2672
Phone (505) 577-2607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z0874 | Medicaid | NM |
Other providers in Santa Fe, NM
- Sante Fe NM Caregiving LLC
- Silvia Maria Santiago Morales
- Antonio Santiago
- Reina Santiago
- Dominique Angel Santillanes
- Mariel Santos Basurto
- Christopher Santos
- Leo Santos
- Marissa Santos
- Aja M. Sanzone
All providers in Santa Fe, NM · Prescribing (Medical) Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.