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Active NPI 1083936769 Individual Practitioner Male Practitioner

Dr. Michael Bucovetsky , PsyD

Psychologist - Clinical • Smyrna, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bucovetsky, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Smyrna, GA. Practice services are available at 4045 ORCHARD RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4045 Orchard Rd Se
Suite 110

Smyrna, GA 300804902

Telephone 7702931950
Fax 7702931955
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Smyrna, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Smyrna, GA (1219 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License GA PSY003351

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Mary Tardy

Counselor - Mental Health

NPI 1003696584
Erin Justice , NCC

Counselor - Professional

NPI 1154970325

National Certified Counselor

Sara Bryant , MA

Counselor - Mental Health

NPI 1184356990

Master of Arts

Xiaohui Yang

Psychologist - Counseling

NPI 1265167027
Nicole Decker

Counselor - Mental Health

NPI 1346026275
Dr. Cecelia Williams , PsyD, MSW

Psychologist - Clinical

NPI 1407094162

Doctor of Psychology (Psy.D.), Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2013

Registered at 4045 ORCHARD RD SE, SUITE 110, SMYRNA, GA 300804902 (Tel: 7702931950)

📍
Updated Business Mailing Address April 08, 2013

Registered at 4045 ORCHARD RD SE, SUITE 110, SMYRNA, GA 300804902 (Tel: 7702931950)

👤
Provider Name / Credentials Updated April 08, 2013

Recorded as MICHAEL BUCOVETSKY, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2013

Psychologist (License #PSY003351 in GA)

🟢
Initial NPI Registration & Enumeration February 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083936769
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2010
Last Update: April 08, 2013
Sole Proprietor: Yes

Mailing Address

4045 Orchard Rd Se, Suite 110

Smyrna, GA 300804902

Phone: 7702931950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.