OrganizationActive
Northway Academy, Inc
NPI 1871475624 · Developmental Disabilities Clinic/Center · Shakopee, MN
Provider details
- NPI number
- 1871475624
- 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
Practice location
4201 Dean Lakes Blvd
Shakopee, MN 55379-2829
Phone: (320) 774-3464
Approximate (ZIP-level) locationGet directions
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.