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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDY JOSEPH GAGE PH. D.
NPI 1104004787
Psychologist - Clinical in Green Bay, WI

Active since February 05, 2008
430 S WEBSTER AVE, GREEN BAY, WI 54301(920) 837-3530 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randy Joseph Gage Ph. D. NPPES

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

DR. RANDY JOSEPH GAGE PH. D. (NPI 1104004787) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (2614-057) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1104004787
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RANDY JOSEPH GAGECredential: PH. D.
Location Address430 S WEBSTER AVEGreen Bay, WI 54301-3959
Mailing Address430 S Webster AveGreen Bay, WI 54301-3959 · (920) 837-3530
Phone(920) 837-3530
Sole ProprietorNo
Enumeration DateFebruary 5, 2008
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1104004787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WI · 2614-057
Definition
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 2614-057 (WI)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 2614-057 (WI)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 2614-057 (WI)
430 S WEBSTER AVE, Green Bay, WI 54301
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN SCOTT LPC-IT
Counselor (Professional)
430 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 837-3530
LAWANDA POSSELT APSW-TEMP
Social Worker (Clinical)
430 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 837-3530
WE ALL RISE: AFRICAN RESOURCE CENTER INC
Counselor (Professional)
430 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 837-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Gage's NPI number?

The NPI number for Randy Gage is 1104004787. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Randy Gage located?

Randy Gage practices at 430 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 837-3530.

What is Randy Gage's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Randy Gage was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.