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DR. MANNY BURGESS
NPI 1013080290
Psychologist - Clinical in South Pasadena, CA

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
1910 HUNTINGTON DR, SOUTH PASADENA, CA 91030(626) 441-6111(626) 441-6389 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Manny Burgess NPPES

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

DR. MANNY BURGESS (NPI 1013080290) is an individual clinical provider in South Pasadena, California, licensed in California (PSY10843) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1013080290
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MANNY BURGESS
Location Address1910 HUNTINGTON DRSouth Pasadena, CA 91030-4812
Mailing Address1910 Huntington DrSouth Pasadena, CA 91030-4812 · (626) 441-6111 · Fax (626) 441-6389
Phone(626) 441-6111
Fax(626) 441-6389
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013080290 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 CA · PSY10843
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.
1910 HUNTINGTON DR, South Pasadena, CA 91030
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Other Identifiers 1

Medicare ID-Type UnspecifiedCP10843BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manny Burgess is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638203961
PECOS Enrollment IDI20100823000119
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

MS. JUDY LEE INGOLDSBY MA
Marriage & Family Therapist
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 441-2868
LA FAMILY COUNSELING INC
Community/Behavioral Health
1910 HUNTINGTON DR, STE 10
SOUTH PASADENA, CA 91030
Los Angeles County (626) 372-7848
MS. KAETE LOUISE ELLIOTT M.A.,M.DIV.
Marriage & Family Therapist
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 403-5950
DR. ILLHAM H AL-SARRAF ROPE MFT
Marriage & Family Therapist
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 590-9047
ERIN GLOWE
Speech-Language Pathologist
1910 HUNTINGTON DR, SUITE 18
SOUTH PASADENA, CA 91030
Los Angeles County (626) 807-0182
MS. AMY TINA TAUBER MFT
Marriage & Family Therapist
1910 HUNTINGTON DR, SUITE 5
SOUTH PASADENA, CA 91030
Los Angeles County (626) 376-8995
DANIEL JAMES GRIMM J.D., M.A., MFT
Marriage & Family Therapist
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (805) 551-6746
DR. MARY MCLEOD STODDARD PH.D.
Psychologist (Clinical)
1910 HUNTINGTON DR
SOUTH PASADENA, CA 91030
Los Angeles County (626) 799-2712

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 Manny Burgess's NPI number?

The NPI number for Manny Burgess is 1013080290. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Manny Burgess located?

Manny Burgess practices at 1910 Huntington Dr, South Pasadena, CA 91030. The listed phone number is (626) 441-6111.

What is Manny Burgess's specialty?

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

Is Manny Burgess enrolled in Medicare?

Yes. Manny Burgess is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Manny Burgess was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.