MERT CIVAN
NPI 1720580632
Marriage & Family Therapist in Sausalito, CA
About Mert Civan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERT CIVAN (NPI 1720580632) is an individual marriage & family therapist in Sausalito, California, licensed in California (155704) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mert Civan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mert Civan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mert Civan's NPI number?
The NPI number for Mert Civan is 1720580632. It was assigned to this individual provider in the NPPES registry on March 7, 2018.
Where is Mert Civan located?
Mert Civan practices at 269 Santa Rosa Ave, Sausalito, CA 94965. The listed phone number is (617) 407-1579.
What is Mert Civan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Mert Civan enrolled in Medicare?
Yes. Mert Civan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mert Civan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mert Civan reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mert Civan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mert Civan was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mert Civan · NPI 1720580632
Marriage & Family Therapist provider in Sausalito, California. Individual provider, active in the CMS NPPES registry since March 7, 2018.
## Identity
- **NPI:** 1720580632 (Entity type: Individual)
- **Enumerated:** March 7, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 155704 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 269 SANTA ROSA AVE, Sausalito, CA 94965-2036
- **Phone:** (617) 407-1579
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2025
- **Other identifiers:** Other 00 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720580632) · Data from the CMS NPPES public registry.