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

Michael Bucovetsky, Psy D , PC

Organization Clinical Psychologist · NPI 1679885941

Michael Bucovetsky, Psy D , PC is a Clinical Psychologist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2308 Perimeter Park Dr Ste 100
Atlanta, GA 30341-1316
Phone: (770) 457-5577
Fax: (770) 457-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY003351 (GA)

Record details

NPI number1679885941
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bucovetsky — Psychologist · (770) 457-5577
NPI enumeratedJuly 2, 2010
Last updated in NPPESJuly 2, 2010
Mailing address2308 Perimeter Park Dr Ste 100, Atlanta, GA 30341-1316

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