Active NPI
Grant Tyrone Godbey, MD
- Psychiatry Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD15659
- Practice address
- 722 NE 162ND Ave
Portland, OR 97230-5760 - Phone
- (503) 255-4205
- Fax
- (503) 255-5095
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD15659 | OR | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD15659 | OR |
Addresses
Primary practice location
722 NE 162ND Ave
Portland, OR 97230-5760
Mailing address
30125 SW Old Well Rd
West Linn, OR 97068-9535
Phone (503) 656-3579
Other practice location 1
1750 Blankenship Rd Ste 400
West Linn, OR 97068-5102
Phone (503) 659-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11010 SE Division St
Suite 202
Portland, OR 97266-6400
Phone (503) 335-5975
1750 Blankenship Rd
Suite 400
West Linn, OR 97068-5102
Phone (503) 659-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15659 | OR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Psychiatry | Current | Accepting new patients |
| Western Psychological and Counseling Services LLC | Current | Accepting new patients | |
| Options Counseling Services of Oregon | Current | Accepting new patients |
Locations
9670 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005
Phone (503) 626-9494
360 E 10th Ave
Ste 450
Eugene, OR 97401
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975
2645 Portland Rd NE
Ste 120
Salem, OR 97301
1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Options Counseling and Family Services
- Mental Health Counselor
- Eugene, OR
- NPI 1548275217
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
OR, Psychiatry
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1902936594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30125 SW OLD WELL RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970689535",
"telephone_number": "503-656-3579",
"fax_number": "503-655-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 NE 162ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972305760",
"telephone_number": "503-255-4205",
"fax_number": "503-255-5095"
}
],
"practiceLocations": [
{
"address_1": "1750 Blankenship Rd Ste 400",
"address_purpose": "LOCATION",
"city": "West Linn",
"state": "OR",
"postal_code": "970685102",
"country_code": "US",
"telephone_number": "503-659-5515",
"fax_number": "503-594-8193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODBEY",
"first_name": "GRANT",
"middle_name": "TYRONE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD15659",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD15659",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 8, 2026; 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.