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

Dr. Manny Burgess

Individual provider Clinical Psychologist · NPI 1013080290

Dr. Manny Burgess is a Clinical Psychologist in South Pasadena, California. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1910 Huntington Dr
South Pasadena, CA 91030-4812
Phone: (626) 441-6111
Fax: (626) 441-6389
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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 PSY10843 (CA)

Record details

NPI number1013080290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1910 Huntington Dr, South Pasadena, CA 91030-4812

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Pasadena