Dr Ernesto Santistevan, PHD | |
1807 2nd St Ste 44, Santa Fe, NM 87505-3499 | |
(505) 577-2607 | |
(505) 982-1096 |
Full Name | Dr Ernesto Santistevan |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 1807 2nd St Ste 44, Santa Fe, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114137684 | NPI | - | NPPES |
Z0874 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 688 (New Mexico) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Life Link | 7012078199 | 6 |
Entity Name | State Of New Mexico |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
Entity Name | The Life Link |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841332400 PECOS PAC ID: 7012078199 Enrollment ID: O20190610000305 |
Entity Name | Santa Fe Mountain Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861695769 PECOS PAC ID: 6406272608 Enrollment ID: O20200819000307 |
Mailing Address | Practice Location Address |
---|---|
Dr Ernesto Santistevan, PHD 1000 Cordova Pl, #548, Santa Fe, NM 87505-1725 Ph: (505) 577-2607 | Dr Ernesto Santistevan, PHD 1807 2nd St Ste 44, Santa Fe, NM 87505-3499 Ph: (505) 577-2607 |
Dr. Kathleen O'malley Reyntjens, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Delgado St, Suite A, Santa Fe, NM 87501 Phone: 505-820-0963 Fax: 505-982-9767 | |
Dr. Gabriela Ureta Munoz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 E San Mateo Rd, Santa Fe, NM 87505 Phone: 505-989-8041 Fax: 505-989-4110 | |
Dr. Priscilla Cummings Roberts, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4435 Airport Rd, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Dr. Ardyth A. Norem, PH.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 E Chili Line Rd, Santa Fe, NM 87508 Phone: 505-473-4017 | |
Thomas James Mccaffrey, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1925 Aspen Dr Ste 901b, Santa Fe, NM 87505 Phone: 847-471-6993 | |
Dr. William Douglas Frost, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 560 E Coronado Rd, Santa Fe, NM 87505 Phone: 505-986-9131 | |
Dr. David P Dennedy-frank, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2019 Galisteo Street, Suite M1a, Santa Fe, NM 87505 Phone: 505-988-4131 Fax: 505-992-6145 |