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GRAHAM GALLIVAN
NPI 1639777543
Marriage & Family Therapist in San Francisco, CA

Active since October 13, 2020Opted out of Medicare · through Jan 1, 2028
211 GOUGH ST STE 115, SAN FRANCISCO, CA 94102(415) 805-2848 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2025, Mar 3, 2023, Dec 28, 2020 and 1 more (4 updates tracked since 2020).

About Graham Gallivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAHAM GALLIVAN (NPI 1639777543) is an individual marriage & family therapist in San Francisco, California, licensed in California (137223) and active in the NPI registry since October 2020. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1639777543
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGRAHAM GALLIVAN
Location Address211 GOUGH ST STE 115San Francisco, CA 94102-6802
Mailing Address211 Gough St Ste 115San Francisco, CA 94102-6802 · (415) 805-2848
Phone(415) 805-2848
Sole ProprietorYes
Enumeration DateOctober 13, 2020
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1639777543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 137223
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
211 GOUGH ST STE 115, San Francisco, CA 94102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Graham Gallivan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graham Gallivan's NPI number?

The NPI number for Graham Gallivan is 1639777543. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Graham Gallivan located?

Graham Gallivan practices at 211 Gough St Ste 115, San Francisco, CA 94102. The listed phone number is (415) 805-2848.

What is Graham Gallivan's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Graham Gallivan enrolled in Medicare?

No. Graham Gallivan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Graham Gallivan was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.