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BURGESS PSYCHOLOGICAL, INC.
NPI 1801102132
Community/Behavioral Health in South Pasadena, CA

Active since August 24, 2010
1910 HUNTINGTON DR, SOUTH PASADENA, CA 91030(626) 441-6111(626) 441-6389 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Burgess Psychological, Inc. NPPES

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

BURGESS PSYCHOLOGICAL, INC. (NPI 1801102132) is a healthcare organization registered as a community/behavioral health in South Pasadena, California and active in the NPI registry since August 2010. The organization lists Manny Burgess, President, as its authorized official.

NPPES Registry Identity

NPI1801102132
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBURGESS PSYCHOLOGICAL, INC.
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
Organization SubpartNo
Authorized OfficialManny BurgessPresident · (626) 441-6111
Enumeration DateAugust 24, 2010
✔ NPI 1801102132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · PSY10843
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1910 HUNTINGTON DR, South Pasadena, CA 91030
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burgess Psychological, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Burgess Psychological, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Manny Burgess
Clinical Psychologist
NPI 1013080290
1910 HUNTINGTON DR
South Pasadena, CA 91030
(626) 441-6111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Burgess Psychological, Inc.'s NPI number?

The NPI number for Burgess Psychological, Inc. is 1801102132. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is Burgess Psychological, Inc. located?

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

What is Burgess Psychological, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Burgess Psychological, Inc. enrolled in Medicare?

Yes. Burgess Psychological, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burgess Psychological, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Burgess Psychological, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Burgess Psychological, Inc. was last updated on August 24, 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.