Organization Active NPI

Babak Govan PHD LLC

Doing business as Integrative NW

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1568870608
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BABAK GOVAN PHD LLC
Doing business as
Integrative NW
Practice address
10260 SW Greenburg Road
Suite 400
Portland, OR 97223-5500
Phone
(503) 575-1317
Fax
(503) 388-4144
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Dr. Babak Govan, PHDNPI 1124260948
Title
Owner/Psychologist
Phone
(503) 575-1317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

10260 SW Greenburg Road
Suite 400
Portland, OR 97223-5500

Mailing address

18946 Tuba St
Northridge, CA 91324-1230
Phone (818) 522-2106

Other names 1

  • Integrative NW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141216002590 OR Part B Supplier - Clinic/Group Practice 2062735426 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR
O20260418000103 CA Part B Supplier - Clinic/Group Practice 2062735426 Receives reassigned benefits from 2 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

12540 SW 68th Ave
Ste B
Tigard, OR 97223
Phone (206) 369-7714

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1568870608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18946 TUBA ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241230",
            "telephone_number": "818-522-2106",
            "fax_number": "503-388-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG ROAD",
            "address_2": "SUITE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235500",
            "telephone_number": "503-575-1317",
            "fax_number": "503-388-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK GOVAN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "GOVAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-575-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative NW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrative NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.