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MICHAEL BUCOVETSKY, PSY.D., P.C.
NPI 1679885941
Psychologist - Clinical in Atlanta, GA

Active since July 02, 2010
2308 PERIMETER PARK DR STE 100, ATLANTA, GA 30341(770) 457-5577(770) 457-5599 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Bucovetsky, Psy.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BUCOVETSKY, PSY.D., P.C. (NPI 1679885941) is a healthcare organization registered as a clinical in Atlanta, Georgia and active in the NPI registry since July 2010. The organization lists Michael Bucovetsky, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1679885941
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMICHAEL BUCOVETSKY, PSY.D., P.C.
Location Address2308 PERIMETER PARK DR STE 100Atlanta, GA 30341-1316
Mailing Address2308 Perimeter Park Dr Ste 100Atlanta, GA 30341-1316 · (770) 457-5577 · Fax (770) 457-5599
Phone(770) 457-5577
Fax(770) 457-5599
Organization SubpartNo
Authorized OfficialMichael BucovetskyPsychologist · (770) 457-5577
Enumeration DateJuly 2, 2010
✔ NPI 1679885941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY003351
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2308 PERIMETER PARK DR STE 100, Atlanta, GA 30341
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Other Identifiers 1

Medicaid253866155AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN GARRISON PSY.D.
Psychologist (Clinical)
2308 PERIMETER PARK DR STE 100
ATLANTA, GA 30341
Dekalb County (770) 457-5577
DR. BENJAMIN J. EDNER PH.D.
Psychologist
2308 PERIMETER PARK DR STE 100
ATLANTA, GA 30341
Dekalb County (770) 457-5577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bucovetsky, Psy.D., P.C.'s NPI number?

The NPI number for Michael Bucovetsky, Psy.D., P.C. is 1679885941. It was assigned to this organization in the NPPES registry on July 2, 2010.

Where is Michael Bucovetsky, Psy.D., P.C. located?

Michael Bucovetsky, Psy.D., P.C. is located at 2308 Perimeter Park Dr Ste 100, Atlanta, GA 30341. The listed phone number is (770) 457-5577.

What is Michael Bucovetsky, Psy.D., P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Bucovetsky, Psy.D., P.C. was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.