Michael James Dewulf, PH.D.
NPI 1912248790ActiveIndividual· Psychologist· Wilmington, NC
Psychologist (PH.D.) with Lifesource of North Carolina, practicing in Wilmington, North Carolina. Medicare paid $71,261 for services to 101 patients in 2024.
Overview
| NPI | 1912248790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 5, 2013 |
| Last updated in NPPES | Oct 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4848 | NC |
| Behavior Analyst | 103K00000X | — | — |
| Psychologist, Adult Development & Aging | 103TA0700X | — | — |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | PS008536L | PA |
| Psychologist, Clinical | 103TC0700X | 4848 | NC |
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) | Enrolled Practitioner - Clinical Psychologist (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 101 |
|---|---|
| Services billed | 1,028 across 5 procedure codes |
| Paid by Medicare | $71,261 |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Lifesource of North CarolinaClinton, SC · 178 clinicians
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All 121 psychologists in Wilmington · All psychologists in North Carolina