OrganizationActive
Elysian Mental Health
NPI 1124845235 · Clinical Psychologist · Evanston, IL
Elysian Mental Health is a Clinical Psychologist organization in Evanston, IL (NPI 1124845235).
Provider details
- NPI number
- 1124845235
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cassidy Buckelew, Psychologist, Owner(708) 292-8373
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
708 Church St Ste 223
Evanston, IL 60201-3881
Phone: (989) 326-5621
Street-level locationGet directions
Mailing address
708 Church St Ste 223
Evanston, IL 60201-3881
Registry dates
- Enumerated
- 2024-09-21
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Elysian Mental Health's NPI number?
- Elysian Mental Health's National Provider Identifier (NPI) is 1124845235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elysian Mental Health?
- Elysian Mental Health is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Elysian Mental Health located?
- Elysian Mental Health's practice location on file with NPPES is 708 Church St Ste 223, Evanston, IL 60201-3881.
- What is Elysian Mental Health's phone number?
- The practice phone number listed in the NPPES registry for Elysian Mental Health is (989) 326-5621.
- Who is the authorized official for Elysian Mental Health?
- The authorized official listed on Elysian Mental Health's NPPES record is Cassidy Buckelew, Psychologist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elysian Mental Health's NPI active?
- Yes — Elysian Mental Health's NPI (1124845235) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.