Individual provider Active NPI

Heidi Dawn, PSYD

  • Psychologist
  • Columbia, SC
National Provider Identifier
1952812752
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
17115 Issued in CA
Practice address
1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150
Phone
(803) 200-2601
Fax
(803) 961-6600
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5430 NC
Clinical Psychologist 103TC0700X 1528 SC
Clinical Psychologist 103TC0700X 17115 CA
Psychologist 103T00000X 17115 CA Primary

Addresses

Primary practice location

1331 Elmwood Ave Ste 300B
Columbia, SC 29201-2150

Mailing address

PO Box 2512
Irmo, SC 29063-4000
Phone (803) 200-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5430NCMDGeneral Practice Dentistry
17115CAMDOccupational Therapist
1528SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Psychological Services Clinical CurrentSince Nov 8, 2025 Accepting new patients

Locations

1331 Elmwood Ave
Ste 300B
Columbia, SC 29201
Phone (803) 250-5109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1952812752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2512",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634000",
            "telephone_number": "803-200-2601",
            "fax_number": "803-961-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 ELMWOOD AVE STE 300B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012150",
            "telephone_number": "803-200-2601",
            "fax_number": "803-961-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWN",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5430",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1528",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "17115",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "17115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.