DR. HEATHER JEAN DAWSON PH.D.
NPI 1952490955
Psychologist in Shirley, NY

Active since October 11, 2006PECOS Enrolled
123 JOHNS NECK RD, SHIRLEY, NY 11967(212) 886-3773 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Heather Jean Dawson Ph.d. NPPES

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

DR. HEATHER JEAN DAWSON PH.D. (NPI 1952490955) is an individual psychologist in Shirley, New York, licensed in New York (013054) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1952490955
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. HEATHER JEAN DAWSONCredential: PH.D.
Location Address123 JOHNS NECK RDShirley, NY 11967-4100
Mailing Address1336-1338 Dekalb AvenueBrooklyn, NY 11221-3305 · (212) 886-3773
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 11, 2006
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1952490955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 013054
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

123 JOHNS NECK RD, Shirley, NY 11967

Other Identifiers 1

Medicaid0245862CNY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Heather Jean Dawson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173415759
PECOS Enrollment IDI20040329000022
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952490955, enumerated as an "individual" on October 11, 2006.

The provider is located at 123 JOHNS NECK RD SHIRLEY, NY 11967 and the phone number is (212) 886-3773.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.