Mert Civan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

155704 Issued in CA

Practice address

269 Santa Rosa Ave
Sausalito, CA 94965-2036

Phone

(617) 407-1579

NPI assigned

Mar 7, 2018

Last updated

Jul 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

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  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• Options Recovery Services

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1669870663
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1720580632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 SANTA ROSA AVE",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652036",
            "telephone_number": "617-407-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 SANTA ROSA AVE",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652036",
            "telephone_number": "617-407-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVAN",
        "first_name": "MERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00",
            "identifier": "00",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Chandler, NP
• Michael C Chase, MD
• Michael R. Chiarottino, M.D.
• Siegried Audfrey Flores Chin, MD
• Holly Louise Christman, M.D.
• Fiona Clements, MD
• Namuun Clifford, FNP
• Clinic 4 Kidz
• Jamie Close
• Camilla Coakley, LCSW

• Marriage & Family Therapist in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.