Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Sionag M Black, PHD

Individual provider Clinical Psychologist · NPI 1821049412

MS. Sionag M Black, PHD is a Clinical Psychologist in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

200 Frnt Street Ste 3D
Beaver Dam, WI 53916
Phone: (920) 885-2780
Fax: (920) 885-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1012057 (WI)

Record details

NPI number1821049412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address200 Front Street, Suite 3d, Beaver Dam, WI 53916

Other providers in Beaver Dam