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ELYSIAN MENTAL HEALTH
NPI 1124845235
Psychologist - Clinical in Evanston, IL

Active since September 21, 2024
708 CHURCH ST STE 223, EVANSTON, IL 60201(989) 326-5621 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Oct 2, 2024, Sep 21, 2024 (3 updates tracked since 2024).

About Elysian Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSIAN MENTAL HEALTH (NPI 1124845235) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since September 2024. The organization lists Cassidy R Buckelew, Psychologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1124845235
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameELYSIAN MENTAL HEALTH
Location Address708 CHURCH ST STE 223Evanston, IL 60201-3881
Mailing Address708 Church St Ste 223Evanston, IL 60201-3881 · (989) 326-5621
Phone(989) 326-5621
Organization SubpartNo
Authorized OfficialCassidy R BuckelewPsychologist, Owner · (708) 292-8373
Enumeration DateSeptember 21, 2024
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1124845235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
708 CHURCH ST STE 223, Evanston, IL 60201
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELIX ACUNA OLIVOS LCSW
Social Worker (Clinical)
708 CHURCH ST STE 223
EVANSTON, IL 60201
Cook County (872) 267-0059
BLAKE A BULLOCK LCSW
Social Worker (Clinical)
708 CHURCH ST STE 223
EVANSTON, IL 60201
Cook County (312) 620-0396
SIVAN SCHNEIDER LLC
Psychologist (Clinical)
708 CHURCH ST STE 223
EVANSTON, IL 60201
Cook County (312) 493-7769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elysian Mental Health's NPI number?

The NPI number for Elysian Mental Health is 1124845235. It was assigned to this organization in the NPPES registry on September 21, 2024.

Where is Elysian Mental Health located?

Elysian Mental Health is located at 708 Church St Ste 223, Evanston, IL 60201. The listed phone number is (989) 326-5621.

What is Elysian Mental Health's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Elysian Mental Health was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.