OrganizationActive
Northway Academy, Inc.
NPI 1366102618 · Developmental Disabilities Clinic/Center · Saint Cloud, MN
Provider details
- NPI number
- 1366102618
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst Gc(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1775 Roosevelt Rd
Saint Cloud, MN 56301-2207
Phone: (320) 290-0693
Fax: (952) 922-6885
Street-level locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Other names (DBA / former)
- Doing business as
- Northway Academy, Inc. St. Cloud South
- Doing business as
- Northway Academy, Inc. St. Cloud South
Registry dates
- Enumerated
- 2021-12-28
- Last updated
- 2024-01-23
- Certified
- 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.