Active NPI
Robert Franklin Burgess, PH.D.
- Clinical Psychologist
- La Jolla, CA
National Provider Identifier
1083788558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9233
- Practice address
- 8950 Villa la Jolla Dr Ste B204
La Jolla, CA 92037-1705 - Phone
- (858) 452-5700
- Fax
- (858) 452-2012
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY9233 | CA | Primary |
Addresses
Primary practice location
8950 Villa la Jolla Dr Ste B204
La Jolla, CA 92037-1705
Mailing address
8950 Villa la Jolla Dr Ste B204
La Jolla, CA 92037-1705
Phone (858) 452-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9233 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Michael McGinty Psychological Corporation | Past | Accepting new patients | |
| Timmie Pollock, PH.D. | Clinical | Past | Accepting new patients |
Interoperability endpoints
- rburgess43533@scrippshlth.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Jolla, CA
- NPI 1609367598
-
- Clinical Psychologist
- La Jolla, CA
- NPI 1598943938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083788558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE B204",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371705",
"telephone_number": "858-452-5700",
"fax_number": "858-452-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 VILLA LA JOLLA DR STE B204",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371705",
"telephone_number": "858-452-5700",
"fax_number": "858-452-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "ROBERT",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.