DR. MICHAEL JAMES DEWULF (PH.D.) – Psychologist, NPI 1912248790

DR. MICHAEL JAMES DEWULF (PH.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS008536L (PA). The NPI Number for DR. MICHAEL JAMES DEWULF (PH.D.) is 1912248790

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JAMES DEWULF (PH.D.)
NPI
1912248790
Phone
(910) 742-9243
Address
PO BOX 538622
Enumeration Date
5 March 2013
Last Update Date
1 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9107429243
Graduation Year
1988 (38 years ago)
PAC ID
4688974306
Group Practice PAC ID
7416132428
Professional Enrollment ID
I20151202002681
Address ID
NC284032565WI3205XPKWY302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in NC

Provider Addresses for DR. MICHAEL JAMES DEWULF (PH.D.)

  • PO BOX 538622

    ATLANTA, GA 303538622

    Phone: (910) 742-9243

    Fax: (888) 746-1787

    Type: Mailing

  • 1213 CULBRETH DR

    WILMINGTON, NC 284053639

    Phone: (910) 742-9243

    Fax: (888) 746-1787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (893 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151202002681IClinical PsychologistNC2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes884113$0
90785Psychiatric services complicated by communication factor22735$0
90791Psychiatric diagnostic evaluation9595$0
90837Psychotherapy, 1 hour2011$0
View full utilization report →

Insurance plans in this area (ZIP 30353)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416132428View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL JAMES DEWULF (PH.D.)'s NPI?
Yes. DR. MICHAEL JAMES DEWULF (PH.D.) is listed with NPI 1912248790 in the public NPI dataset.
Does the file indicate DR. MICHAEL JAMES DEWULF (PH.D.) is practicing under active NPI?
Directory data currently reports DR. MICHAEL JAMES DEWULF (PH.D.) as active.
What taxonomy line describes DR. MICHAEL JAMES DEWULF (PH.D.)?
For research purposes, treat DR. MICHAEL JAMES DEWULF (PH.D.) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MICHAEL JAMES DEWULF (PH.D.) serve?
DR. MICHAEL JAMES DEWULF (PH.D.)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
Why does DR. MICHAEL JAMES DEWULF (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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