OrganizationActive
Northway Academy, Inc.
NPI 1114539434 · Community/Behavioral Health Agency · Elk River, MN
Northway Academy, Inc. is a Community/Behavioral Health Agency organization in Elk River, MN (NPI 1114539434).
Provider details
- NPI number
- 1114539434
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst Gc(952) 836-2234
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19437 Evans Street Nw
Elk River, MN 55330-1074
Phone: (320) 290-0693
Fax: (952) 945-4918
Street-level locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Frequently asked questions
- What is Northway Academy, Inc.'s NPI number?
- Northway Academy, Inc.'s National Provider Identifier (NPI) is 1114539434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northway Academy, Inc.?
- Northway Academy, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Northway Academy, Inc. located?
- Northway Academy, Inc.'s practice location on file with NPPES is 19437 Evans Street Nw, Elk River, MN 55330-1074.
- What is Northway Academy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northway Academy, Inc. is (320) 290-0693.
- Who is the authorized official for Northway Academy, Inc.?
- The authorized official listed on Northway Academy, Inc.'s NPPES record is Mary Rodenberg-Roberts, Vp & Sr Asst Gc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northway Academy, Inc.'s NPI active?
- Yes — Northway Academy, Inc.'s NPI (1114539434) is active in the NPPES registry as of the last update on 2024-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.