Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mert Civan

Individual provider Marriage & Family Therapist · NPI 1720580632

Mert Civan is a Marriage and Family Therapist in Sausalito, California. Qualified in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018

Practice location Address checks out

269 Santa Rosa Ave
Sausalito, CA 94965-2036
Phone: (617) 407-1579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 155704 (CA)

Record details

NPI number1720580632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 7, 2018
Last updated in NPPESJuly 27, 2025
Certification dateJuly 27, 2025
Mailing address269 Santa Rosa Ave, Sausalito, CA 94965-2036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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