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CASSIDY BUCKELEW PSYD LLC
NPI 1902781792
Psychologist - Clinical in Evanston, IL

Active since August 09, 2025
708 CHURCH ST STE 233, EVANSTON, IL 60201(708) 292-8373(708) 816-2190 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cassidy Buckelew Psyd Llc NPPES

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

CASSIDY BUCKELEW PSYD LLC (NPI 1902781792), doing business as Elysian Mental Health, is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since August 2025. The organization lists Cassidy Buckelew, Owner, as its authorized official.

NPPES Registry Identity

NPI1902781792
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCASSIDY BUCKELEW PSYD LLC
Location Address708 CHURCH ST STE 233Evanston, IL 60201-3885
Mailing Address708 Church St Ste 233Evanston, IL 60201-3885 · (708) 292-8373 · Fax (708) 816-2190
Phone(708) 292-8373
Fax(708) 816-2190
Organization SubpartNo
Authorized OfficialCassidy BuckelewOwner · (708) 292-8373
Enumeration DateAugust 9, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1902781792 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 233, Evanston, IL 60201
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Other Names 1

Doing Business AsElysian Mental Health

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.

DR. CASSIDY BUCKELEW PSY.D
Psychologist (Clinical)
708 CHURCH ST STE 233
EVANSTON, IL 60201
Cook County (708) 292-8373
MR. DANIEL SERPA LCSW
Social Worker (Clinical)
708 CHURCH ST STE 233
EVANSTON, IL 60201
Cook County (773) 414-3663
OLGA MARIA WALSH
Counselor (Mental Health)
708 CHURCH ST STE 233
EVANSTON, IL 60201
Cook County (847) 894-4046

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 Cassidy Buckelew Psyd LLC's NPI number?

The NPI number for Cassidy Buckelew Psyd LLC is 1902781792. It was assigned to this organization in the NPPES registry on August 9, 2025. The provider is doing business as Elysian Mental Health.

Where is Cassidy Buckelew Psyd LLC located?

Cassidy Buckelew Psyd LLC is located at 708 Church St Ste 233, Evanston, IL 60201. The listed phone number is (708) 292-8373.

What is Cassidy Buckelew Psyd LLC'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 Cassidy Buckelew Psyd LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.