Cassidy Buckelew PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CASSIDY BUCKELEW PSYD LLC

Doing business as

Elysian Mental Health

Practice address

708 Church St Ste 233
Evanston, IL 60201-3885

Phone

(708) 292-8373

Fax

(708) 816-2190

NPI assigned

Aug 9, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Cassidy Buckelew, PSY.DNPI 1518699768

Title

Owner

Phone

(708) 292-8373

Specialties & licenses 1

Addresses

Other names 1

• Elysian Mental Health Doing business as

Tax ID family

Cassidy Buckelew PSYD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elysian Mental Health

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1124845235
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassidy Buckelew, PSY.D

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1518699768
  NPD Authorized official

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1902781792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 233",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013885",
            "telephone_number": "708-292-8373",
            "fax_number": "708-816-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 233",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013885",
            "telephone_number": "708-292-8373",
            "fax_number": "708-816-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIDY BUCKELEW PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BUCKELEW",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-292-8373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anjali Rishi Casey, M.D.
• Patrick T Casey, PHD
• Rebecca Anne Casini, D.O.
• Jaclyn A Caskey, CRNA
• Immacolata Paola Cassetta, M.A.P.C.
• Daniel James Castillo, M.D.
• Mirel L. Castle, PSY.D.
• Anamaria Elena Castro, PA-C
• Cindy Solorzano Castro, LCSW
• Jena M Catania, MA

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.