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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Randy Joseph Gage, PH. D.

Clinical Psychologist in Green Bay, WI · enumerated 2008 · practices at We All Rise: African Resource Center Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104004787

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Registry record

Entity type Individual (Type 1)
Name Dr. Randy Joseph Gage
Credential PH. D.
Sex Male
Practice address 430 S Webster Ave, Green Bay, WI, 54301
Enumeration date Feb 5, 2008
Last updated in NPPES Aug 5, 2026

Taxonomy & licenses

103TR0400X Rehabilitation Psychologist Behavioral Health & Social Service Providers · License 2614-057 (WI) Secondary
103TH0100X Health Service Psychologist Behavioral Health & Social Service Providers · License 2614-057 (WI) Secondary
103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 2614-057 (WI) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2614-057 (WI) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104004787 active?
Yes, as of the latest NPPES snapshot, NPI 1104004787 is active (record last updated 2026-08-05).
How do I verify Randy Gage's NPI record?
Cross-check NPI 1104004787 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-05.