Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY JO ROSEBERRY PH.D.
NPI 1225081599
Psychologist - Health Service in Muncie, IN

Active since May 18, 2006
240 N TILLOTSON AVE, MUNCIE, IN 47304(765) 288-1928(765) 741-0340 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jo Roseberry Ph.d. NPPES

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

MARY JO ROSEBERRY PH.D. (NPI 1225081599) is an individual health service provider in Muncie, Indiana, licensed in Indiana (20010435A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1225081599
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameMARY JO ROSEBERRYCredential: PH.D.
Location Address240 N TILLOTSON AVEMuncie, IN 47304-3988
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0340
Fax(765) 741-0340
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1225081599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in IN · 20010435A
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
240 N TILLOTSON AVE, Muncie, IN 47304

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Nurse Practitioner (Psychiatric/Mental Health)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Social Worker (Clinical)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Social Worker (Clinical)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Counselor (Mental Health)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Social Worker (Clinical)
240 N TILLOTSON AVE
MUNCIE, IN 47304
Social Worker
240 N TILLOTSON AVE
MUNCIE, IN 47304
Case Manager/Care Coordinator
240 N TILLOTSON AVE
MUNCIE, IN 47304

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 Mary Roseberry's NPI number?

The NPI number for Mary Roseberry is 1225081599. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Mary Roseberry located?

Mary Roseberry practices at 240 N Tillotson Ave, Muncie, IN 47304. The listed phone number is (765) 288-1928.

What is Mary Roseberry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Mary Roseberry was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.