Hafen Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HAFEN BEHAVIORAL HEALTH LLC

Practice address

332 Apple Leaf Ave
Kaysville, UT 84037-5005

Phone

(385) 485-5354

NPI assigned

Jul 22, 2026

Organization subpart

No

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

Authorized official

Name

Blake Kenneth Hafen

Title

Chief Operating Officer

Phone

(385) 485-5354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1689595126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST STE D",
            "address_2": "PMB # 331",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371424",
            "telephone_number": "385-485-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 APPLE LEAF AVE",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840375005",
            "telephone_number": "385-485-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFEN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "HAFEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "385-485-5354"
    },
    "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": []
}

• Ashley Greenhalgh, FNP, PMHNP
• Camber Griggs
• Jake Groesbeck, LMT
• Melissa Grundvig, LMT
• Alan Brant Gummow, O.D.
• Elizabeth Hale
• Maddison Loree Hall
• Ensley Hammond
• Kailee Hancock
• Hansann & Associates

• Psychiatric/Mental Health Nurse Practitioner in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.