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MERT CIVAN
NPI 1720580632
Marriage & Family Therapist in Sausalito, CA

Active since March 07, 2018PECOS Enrolled
269 SANTA ROSA AVE, SAUSALITO, CA 94965(617) 407-1579 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720580632
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMERT CIVAN
Location Address269 SANTA ROSA AVESausalito, CA 94965-2036
Mailing Address269 Santa Rosa AveSausalito, CA 94965-2036 · (617) 407-1579
Phone(617) 407-1579
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 7, 2018
Last NPPES UpdateJuly 27, 2025
NPPES CertifiedJuly 27, 2025
✔ NPI 1720580632 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 · 155704
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.
269 SANTA ROSA AVE, Sausalito, CA 94965
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Other Identifiers 1

Other00CA · 00

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mert Civan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395247423
PECOS Enrollment IDI20250908000631
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 12 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.