Mindsculpt Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSCULPT PSYCHIATRY, PLLC

Practice address

8128 S Western Ave Rear Unit1
Chicago, IL 60620-5937

Phone

(312) 661-5506

Fax

(312) 661-5556

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gia Chezvon Short, PMHNP-BCNPI 1578339065

Title

Owner

Phone

(312) 661-5506

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gia Chezvon Short, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1578339065
  NPD (past) Authorized official

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1275431561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8128 S WESTERN AVE REAR UNIT1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205937",
            "telephone_number": "312-661-5506",
            "fax_number": "312-661-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 S WESTERN AVE REAR UNIT1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205937",
            "telephone_number": "312-661-5506",
            "fax_number": "312-661-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSCULPT PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "GIA",
        "authorized_official_middle_name": "CHEZVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-661-5506",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfulshift Inc
• Samantha M Mindlin, DPT
• Corazon T Mindo
• Minds in Bloom
• Mindscapes Inc
• Mindset Counseling Services PLLC
• Mindset Health PC
• Mindset Mindfully N-Tune PLLC
• Mindwell Inc
• Melissa Minear, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.