MERT CIVAN NPI 1720580632

NPI Information

  • NPI: 1720580632
  • Provider Name: MERT CIVAN
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 269 SANTA ROSA AVE
    SAUSALITO, CA
    ZIP 94965
  • Phone: (617) 407-1579

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NPI Details

Mert Civan is a marriage family therapist in Sausalito, CA with 3 years of experience. The provider is 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. Mert Civan NPI is 1720580632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

269 SANTA ROSA AVE
SAUSALITO, CA
ZIP 94965-036
Phone: (617) 407-1579

The NPI 1720580632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/7/2018 and was last updated on 7/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist155704CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100OTHERCALIFORNIA00

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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