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

Individual provider Behavior Analyst · NPI 1912248790

Dr. Michael James Dewulf, PHD is a Clinical Psychologist in Wilmington, North Carolina. Qualified in 1988, 38 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
38
Licensed in
NC, PA
In the registry since
2013
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1213 Culbreth Dr
Wilmington, NC 28405-3639
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4848 (NC)
Behavior Analyst Taxonomy 103K00000X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PS008536L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4848 (NC)

Record details

NPI number1912248790
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 5, 2013
Last updated in NPPESOctober 1, 2015
Mailing addressPo Box 538622, Atlanta, GA 30353-8622

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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