Elysian Mental Health
NPI 1124845235ActiveOrganization· Psychologist, Clinical· Evanston, IL
Psychologist, Clinical in Evanston, Illinois, registered in NPPES in September 2024. The authorized official on file is Cassidy R. Buckelew, Psychologist, Owner.
Overview
| NPI | 1124845235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2024 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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