Randy Joseph Gage, PH. D.
NPI 1104004787ActiveIndividual· Psychologist, Clinical· Green Bay, WI
Psychologist, Clinical (PH. D.) in Green Bay, Wisconsin, licensed in WI, with an NPI issued in February 2008.
Overview
| NPI | 1104004787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH. D. |
| Sole proprietor | No |
| NPI issued | Feb 5, 2008 |
| Last updated in NPPES | Aug 5, 2026 |
| Certified by provider | Aug 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2614-057 | WI |
| Psychologist, Rehabilitation | 103TR0400X | 2614-057 | WI |
| Psychologist, Health Service | 103TH0100X | 2614-057 | WI |
| Clinical Neuropsychologist | 103G00000X | 2614-057 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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