MS. SIONAG M BLACK PHD
NPI 1821049412
Psychologist - Clinical in Beaver Dam, WI
NPI Status: Active since May 16, 2006
Contact Information
200 FRONT STREET
SUITE 3D
BEAVER DAM, WI
ZIP 53916
Phone: (920) 885-2780
Fax: (920) 885-2788
- Individual
- Female
- Psychologist
- Clinical
About SIONAG BLACK
This page provides the complete NPI Profile along with additional information for Sionag Black, a provider established in Beaver Dam, Wisconsin with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1821049412 assigned on May 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 1012057 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1821049412
- Provider Name
- MS. SIONAG M BLACK PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 FRONT STREET SUITE 3D BEAVER DAM, WI 53916
- Location Phone
- (920) 885-2780
- Location Fax
- (920) 885-2788
- Mailing Address
- 200 FRONT STREET SUITE 3D BEAVER DAM, WI 53916
- Mailing Phone
- (920) 885-2780
- Mailing Fax
- (920) 885-2788
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-16-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Sionag Black assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1012057
- License State
- WI
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 88805 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 39077100 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 0 | 4 | 9 | 4 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 0 | 4 | 18 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 0 + 4 + 1 + 8 + 4 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1821049412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. EUGENE P PHILIPP JR. PSYD
Psychologist
(Clinical)
200 FRONT STREET
SUITE 3D
BEAVER DAM, WI
ZIP 53916
DR. KENNETH C GRAUPNER MD
Psychiatry & Neurology
(Psychiatry)
200 FRONT STREET
STE 3D
BEAVER DAM, WI
ZIP 53916
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821049412, enumerated as an "individual" on May 16, 2006.
The provider is located at 200 FRONT STREET SUITE 3D BEAVER DAM, WI 53916 and the phone number is (920) 885-2780.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
