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

Individual provider Clinical Child & Adolescent Psychologist · NPI 1245382456

Dr. Michael J Fulop, PSYD is a Clinical Psychologist in Portland, Oregon. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
35
Licensed in
OR
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2130 SW Jefferson St Ste 300
Portland, OR 97201-7711
Phone: (503) 539-4932
Fax: (503) 297-5744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 1049 (OR)

Record details

NPI number1245382456
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESSeptember 6, 2022
Certification dateOctober 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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