Organization Active NPI

Haven Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1235955584
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HAVEN BEHAVIORAL HEALTH PLLC
Practice address
168 Jackson Peak Dr
Kalispell, MT 59901-7157
Phone
(406) 540-9041
Fax
(406) 295-1196
NPI assigned
Dec 2, 2024
Last updated
Aug 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Authorized official

Name
Dr. Kaila Marie Gregg, PMHNPNPI 1255173969
Title
Member
Phone
(406) 540-9041

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

168 Jackson Peak Dr
Kalispell, MT 59901-7157

Mailing address

20019 W Mazatzal Dr
Wittmann, AZ 85361-5015
Phone (623) 466-4870

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755993600000",
    "number": "1235955584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20019 W MAZATZAL DR",
            "city": "WITTMANN",
            "state": "AZ",
            "postal_code": "853615015",
            "telephone_number": "623-466-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 JACKSON PEAK DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017157",
            "telephone_number": "406-540-9041",
            "fax_number": "406-295-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "KAILA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-540-9041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.