OrganizationActive
Northway Academy, Inc.
NPI 1790665917 · Developmental Disabilities Clinic/Center · Rogers, MN
Provider details
- NPI number
- 1790665917
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp & Sr Asst General Counsel(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
14000 Northdale Blvd
Rogers, MN 55374-4662
Phone: (763) 328-2782
Fax: (763) 328-2782
Street-level locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.