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

Jarett Edward Roseberry, PHD, LP

Individual provider Psychologist · NPI 1093230088

Jarett Edward Roseberry, PHD, LP is a Clinical Psychologist in Coon Rapids, Minnesota. Qualified in 2015, 11 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
11
Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11850 Blackfoot St NW Ste 400
Coon Rapids, MN 55433-2776
Phone: (763) 236-8911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6148 (MN)
Psychologist Taxonomy 103T00000X · Licence 3438-57 (WI)

Record details

NPI number1093230088
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedAugust 10, 2017
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coon Rapids